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NPI Code Detail

MEDICARE: ANNETTE KNOWLES

MEDICARE:   ANNETTE  KNOWLES
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1295692416
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNETTE KNOWLES
Provider Business Mailing Address
First Line : 6844 ALEXANDRIA PL
Second Line :
City : STOCKTON
State : CA
Zip : 95207-2498
Country : US
Telephone Number : 209-953-8934
Fax Number :
Provider Business Practice Location Address
First Line : 6844 ALEXANDRIA PL
Second Line :
City : STOCKTON
State : CA
Zip : 95207-2498
Country : US
Telephone Number : 209-953-8934
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ ANNETTE KNOWLES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.