Individual
MR. LOREN MCKNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, PLP
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5065
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14499250
CAQH
—
Enumeration date
06/06/2016
Last updated
08/01/2019
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