Individual provider · Type 1 NPI

Poonam McKnight, LCPC

Mental Health Counselor · Bowie, MD

NPI number 1104462290 Active

Practice location

2905 Mitchellville Rd Ste 204
Bowie, MD 20716-3961

Mailing address

11 Proctor Ave
Glen Burnie, MD 21061-2633

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XLGP10021 (MD)
Mental Health Counselor 101YM0800XLC12206 (MD)
Mental Health Counselor Primary 101YM0800XLGP10021 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1104462290

Poonam McKnight, LCPC's National Provider Identifier is 1104462290, issued on Nov 23, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bowie, MD. The record was last updated on Aug 21, 2023.