Larry W Knopp, MA LCPC

NPI #1679595458 in Mt Vernon, Illinois

Provider Information

NPI Number: 1679595458
Entity Type: Individual
Name: Larry W Knopp, MA LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MA LCPC
Enumeration Date: Jul 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 16342 N IL HWY 37
City: Mt Vernon
State: Illinois
ZIP Code: 62864
Phone: (618) 242-1510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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