Individual
MR. DOUGLAS W. KNAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ICADC
Contact information
Practice address
450 E PASS RD STE 3, GULFPORT, MS 39507-3212
(228) 604-0099
Mailing address
316 LAKEVIEW BLVD, BILOXI, MS 39531-2606
(228) 388-3942
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
005R91K
MS
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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