Provider Demographics
NPI:1962631572
Name:KNIGHT, JOHN GILBERT II (LCPC, MS)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:GILBERT
Last Name:KNIGHT
Suffix:II
Gender:M
Credentials:LCPC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1808 BRIARCLIFF ROAD
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-3810
Mailing Address - Country:US
Mailing Address - Phone:410-456-4920
Mailing Address - Fax:410-882-0567
Practice Address - Street 1:305 W CHESAPEAKE AVE STE 505
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-4421
Practice Address - Country:US
Practice Address - Phone:410-456-4920
Practice Address - Fax:866-558-0487
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC3150101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD023607100Medicaid
MD101YP2500XOtherPASTORAL COUNSELOR
103TF0000XOtherFAMILY
MD101YA0400XOtherCOUNSELOR