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Individual

STEPHEN KNIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4054 MCKINNEY AVE, #102, DALLAS, TX 75204-8212
(214) 520-6308
Mailing address
4054 MCKINNEY AVE, #102, DALLAS, TX 75204-8212
(214) 520-6308

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13661
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13661
TEXAS DEPARTMENT OF STATE HEALTH SERVICES
TX
Enumeration date
10/25/2016
Last updated
10/25/2016
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