Provider Demographics
NPI:1225556137
Name:WILSON-KNIGHT, JAMITIA CAMIL (MS)
Entity Type:Individual
Prefix:
First Name:JAMITIA
Middle Name:CAMIL
Last Name:WILSON-KNIGHT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2542 S MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19148-4633
Mailing Address - Country:US
Mailing Address - Phone:862-944-4237
Mailing Address - Fax:
Practice Address - Street 1:2542 S MARSHALL
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19148
Practice Address - Country:US
Practice Address - Phone:862-944-4237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor