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Individual

MR. ALTON MCKNIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
2520 LINE AVE, SHREVEPORT, LA 71104-3022
(318) 222-6226
(318) 221-8526
Mailing address
2520 LINE AVE, SHREVEPORT, LA 71104-3022
(318) 222-6226
(318) 221-8526

Taxonomy

Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
156
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
721232650001
HUMANA MILITARY
01
B0307
BLUE CROSS OF LA
LA
Enumeration date
07/06/2006
Last updated
07/08/2007
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