Provider Demographics
NPI:1043349780
Name:KNOTT, RORI A (LCPC)
Entity Type:Individual
Prefix:MS
First Name:RORI
Middle Name:A
Last Name:KNOTT
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 FRANKLIN ST
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401
Mailing Address - Country:US
Mailing Address - Phone:207-745-3142
Mailing Address - Fax:207-973-6109
Practice Address - Street 1:115 FRANKLIN ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401
Practice Address - Country:US
Practice Address - Phone:207-745-3142
Practice Address - Fax:207-973-6109
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL2564101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health