Individual provider · Type 1 NPI

Russell Knop

Addiction (Substance Use Disorder) Counselor · Roxboro, NC

NPI number 1316048960 Active

Practice location

355 S Madison Blvd Ste C
Roxboro, NC 27573-5485

Fax (336) 597-2404

Mailing address

6015 Fayetteville Rd, Suite 211
Durham, NC 27713-6254

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1005 (NC)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1316048960

Russell Knop's National Provider Identifier is 1316048960, issued on Sep 26, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roxboro, NC. The record was last updated on Feb 20, 2008.