Individual
LAVONDA ROCHELLE KNOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4221 MAYFAIR ST, MYRTLE BEACH, SC 29577-5757
(843) 455-0558
(843) 236-9481
Mailing address
4221 MAYFAIR ST, MYRTLE BEACH, SC 29577-5757
(843) 455-0558
(843) 236-9481
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5118
SC
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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