Individual
REGINA KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
675 N MATTHEWS RD, LAKE CITY, SC 29560-7027
(843) 394-7600
Mailing address
675 N MATTHEWS RD, LAKE CITY, SC 29560-7027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376241
—
SC
Enumeration date
11/18/2014
Last updated
11/18/2014
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