Individual
POONAM MCKNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2905 MITCHELLVILLE RD STE 204, BOWIE, MD 20716-3961
(301) 701-6965
Mailing address
11 PROCTOR AVE, GLEN BURNIE, MD 21061-2633
(202) 344-0490
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LGP10021
MD
101YM0800X
Mental Health Counselor
LC12206
MD
101YM0800X
Mental Health Counselor
Primary
LGP10021
MD
Other
Enumeration date
11/23/2019
Last updated
08/21/2023
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