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Individual

CARRIE TROGDON KNOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
8712 SUDLEY RD, MANASSAS, VA 20110-4405
(571) 599-0312
Mailing address
8712 SUDLEY RD, MANASSAS, VA 20110-4405
(910) 228-4798

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000243
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
1226
NC
101YP2500X
Professional Counselor
Primary
0701007838
VA

Other

Enumeration date
08/29/2018
Last updated
08/29/2018
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