Niaza Knowles Valid NPI
Individual provider · Mental Health Counselor · Wellington, FL
- NPI
- 1275161978
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- IMH19289 (FL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2020-03-29
- Last updated
- 2020-03-30
Practice location
2062 Polo Gardens Dr Apt 107
Wellington, FL 33414-2008
(561) 660-0654