Provider Demographics
NPI:1215928379
Name:KNOX, KATIE KRISTIN (LPCC NCC)
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:KRISTIN
Last Name:KNOX
Suffix:
Gender:F
Credentials:LPCC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 MACKEY AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MARTINS FERRY
Mailing Address - State:OH
Mailing Address - Zip Code:43935-1697
Mailing Address - Country:US
Mailing Address - Phone:740-635-7792
Mailing Address - Fax:740-635-7755
Practice Address - Street 1:500 MACKEY AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MARTINS FERRY
Practice Address - State:OH
Practice Address - Zip Code:43935-1697
Practice Address - Country:US
Practice Address - Phone:740-635-7792
Practice Address - Fax:740-635-7755
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0003561101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor