Individual
MICHELLE KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4619 GREENE ST NW, ALBUQUERQUE, NM 87114-4895
(505) 899-9329
Mailing address
5732 PIEDRA RD NW, ALBUQUERQUE, NM 87114-4735
(505) 944-6004
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
M-08247
NM
1041C0700X
Clinical Social Worker
Primary
C-10304
NM
Other
Enumeration date
04/12/2017
Last updated
11/11/2020
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