Jerry Knight
Jerry Knight is a Mental Health Counselor in Chicago, Illinois. Qualified in 2023, 3 years ago. Practices as a sole proprietor.
- Years since qualifying
- 3
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
808 W Junior Ter Apt 307Chicago, IL 60613-1657
Phone: (212) 679-4661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
Record details
| NPI number | 1669155453 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 9, 2023 |
| Last updated in NPPES | August 9, 2023 |
| Certification date | August 9, 2023 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
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