Individual
MR. LEMMIE N KNOX III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
847 NE 19TH AVE, PORTLAND, OR 97232
(503) 238-0769
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C4920
OR
101YM0800X
Mental Health Counselor
LPC.0013855
CO
101YP2500X
Professional Counselor
Primary
C4920
OR
Other
Enumeration date
09/12/2014
Last updated
07/27/2018
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