RUSSELL KNOP

ROXBORO, NC
NPI1316048960
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  1005)
Enumeration Date2006-09-26
Last Update Date2008-02-20
Business Address
-- RUSSELL KNOP
355 S MADISON BLVD STE C
ROXBORO, NC 27573-5485
Phone number: 336-599-8366
Mailing Address
-- RUSSELL KNOP
6015 FAYETTEVILLE RD SUITE 211
DURHAM, NC 27713-6254
Phone number: 919-572-0001