Individual
HEATHER M KNOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1 LONG WHARF DR, NEW HAVEN, CT 06511-5991
(203) 781-4600
(203) 781-4624
Mailing address
PO BOX 511, WEST HAVEN, CT 06516-0511
(203) 654-9714
(203) 306-3266
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2644
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008057135
MEDICAID HEALTHER KNOX
CT
Enumeration date
06/10/2013
Last updated
08/15/2020
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