Provider Demographics
NPI:1073348041
Name:DANIEL KNOX COUNSELING
Entity type:Organization
Organization Name:DANIEL KNOX COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DRUG & ALCOHOL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:PRICE
Authorized Official - Last Name:KNOX
Authorized Official - Suffix:
Authorized Official - Credentials:CADC I, SUDCC, MBA
Authorized Official - Phone:310-890-6558
Mailing Address - Street 1:860 VIA DE LA PAZ STE F2
Mailing Address - Street 2:
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-3655
Mailing Address - Country:US
Mailing Address - Phone:310-890-6558
Mailing Address - Fax:
Practice Address - Street 1:860 VIA DE LA PAZ STE F2
Practice Address - Street 2:
Practice Address - City:PACIFIC PALISADES
Practice Address - State:CA
Practice Address - Zip Code:90272-3655
Practice Address - Country:US
Practice Address - Phone:310-890-6558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TANYA JACOB CLINICAL PSYCHOLOGY INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-07
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty