Individual
RUSSELL KNOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 S MADISON BLVD STE C, ROXBORO, NC 27573-5485
(336) 599-8366
(336) 597-2404
Mailing address
6015 FAYETTEVILLE RD, SUITE 211, DURHAM, NC 27713-6254
(919) 572-0001
(919) 572-0004
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1005
NC
Other
Enumeration date
09/26/2006
Last updated
02/20/2008
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