Individual
DECCA TALIAFERRO KNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
360 CAMPBELL AVE SW, ROANOKE, VA 24016-3625
(540) 563-5316
Mailing address
9540 ORCHARD DR, BENT MOUNTAIN, VA 24059-2012
(540) 204-2070
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008619
VA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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