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NPI Code Detail

MEDICARE: DEBORAH KNIGHT LCPC

MEDICARE: DEBORAH KNIGHT LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101Y00000XCounselor

General Provider Information

NPI Number : 1114371432
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH KNIGHT LCPC
Provider Business Mailing Address
First Line : 1909 CHEKER SQ
Second Line :
City : EAST HAZEL CREST
State : IL
Zip : 60429-1442
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1755 PARK ST STE 200
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-8404
Country : US
Telephone Number : 331-207-4045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2016
Last Update Date : 09/15/2023

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