Provider Demographics
NPI:1346519147
Name:KNOLL, KATHERINE (LAMFT)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:KNOLL
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3399 FINCH RD
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:AR
Mailing Address - Zip Code:71929
Mailing Address - Country:UM
Mailing Address - Phone:501-865-3363
Mailing Address - Fax:501-865-3362
Practice Address - Street 1:3399 FINCH RD
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:AR
Practice Address - Zip Code:71929
Practice Address - Country:US
Practice Address - Phone:501-865-3363
Practice Address - Fax:501-865-3362
Is Sole Proprietor?:No
Enumeration Date:2011-12-22
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR1108013106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist