Individual
JOHNNY KNIGHTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
621 E NORTH ST, MAGNOLIA, AR 71753-3120
(870) 234-0739
Mailing address
1600 ALDERSGATE RD STE 200, LITTLE ROCK, AR 72205-6676
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1809137
AR
101YP2500X
Professional Counselor
Primary
P221004
AR
Other
Enumeration date
04/14/2021
Last updated
05/17/2023
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