Individual
BEVERLY M. KNOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
6461 LA PETITE PL, CENTREVILLE, VA 20121-3885
(703) 968-5641
Mailing address
6461 LA PETITE PL, CENTREVILLE, VA 20121-3885
(703) 968-5641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0015000875
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024181898
VA
Other
Enumeration date
05/12/2009
Last updated
06/06/2022
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