Provider Demographics
NPI:1558684803
Name:KNOWLES, NORMA LEE (CADC)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:LEE
Last Name:KNOWLES
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20707 DUPONT BLVD
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19947-3171
Mailing Address - Country:US
Mailing Address - Phone:302-855-1066
Mailing Address - Fax:302-856-3005
Practice Address - Street 1:20707 DUPONT BLVD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-3171
Practice Address - Country:US
Practice Address - Phone:302-855-1066
Practice Address - Fax:302-856-3005
Is Sole Proprietor?:No
Enumeration Date:2010-03-01
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE956101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)