Individual
MR. GEORGE HERBERT KNIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S., LCPC, LCADC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC2864
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA1577
MD
101YM0800X
Mental Health Counselor
LC2864
MD
101YP1600X
Pastoral Counselor
LC2864
MD
101YP2500X
Professional Counselor
Primary
LC2864
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC2864
LCPC
MD
01
—
LCA1577
LCADC
MD
Enumeration date
04/17/2009
Last updated
04/17/2009
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