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Individual

MR. DAVE KNEESSY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, MAC, MCAP, LMHC

Contact information

Practice address
2198 HARRIS AVE NE, PALM BAY, FL 32905-4002
(321) 951-9750
(321) 951-9765
Mailing address
2198 HARRIS AVE NE, PALM BAY, FL 32905-4002
(321) 951-9750
(321) 951-9765

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
39000279A
IN
251S00000X
Community/Behavioral Health Agency
39000279A
IN

Other

Enumeration date
11/23/2015
Last updated
07/10/2020
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