Provider Demographics
NPI:1215354154
Name:KNOX, SHALONDA (LCPC)
Entity type:Individual
Prefix:MRS
First Name:SHALONDA
Middle Name:
Last Name:KNOX
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MRS
Other - First Name:SHALONDA
Other - Middle Name:
Other - Last Name:THORNTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:7001 HELENA PL
Mailing Address - Street 2:
Mailing Address - City:FORESTVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20747-3302
Mailing Address - Country:US
Mailing Address - Phone:301-440-2248
Mailing Address - Fax:
Practice Address - Street 1:7001 HELENA PL
Practice Address - Street 2:
Practice Address - City:FORESTVILLE
Practice Address - State:MD
Practice Address - Zip Code:20747-3302
Practice Address - Country:US
Practice Address - Phone:301-440-2248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2775101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health