MR. Roderick Vincent Knowles JR., BHRS/CASE MANAGER

NPI #1285079889 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1285079889
Entity Type: Individual
Name: MR. Roderick Vincent Knowles JR., BHRS/CASE MANAGER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: BHRS/CASE MANAGER
Enumeration Date: May 8, 2013
Last Updated: May 8, 2013

Practice Location

Address: 11632 E 64TH ST
City: Broken Arrow
State: Oklahoma
ZIP Code: 74012-1369
Phone: (918) 294-3012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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