Organization
DAN A KNIFFEN LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN A KNIFFEN LCSW (PRESIDENT)
(804) 755-7323
Entity
Organization
Contact information
Practice address
4100 EAST PARHAM ROAD, SUITE B, HENRICO, VA 23228
(804) 755-7323
(804) 755-1215
Mailing address
4100 EAST PARHAM ROAD, SUITE B, HENRICO, VA 23228
(804) 755-7323
(804) 755-1215
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904000931
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8909920
—
VA
Enumeration date
09/22/2016
Last updated
09/22/2016
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