person
Mr. Roger Mcknight
Peer Specialist in Denton, Maryland
NPI 1184409864

Roger Mcknight is a Peer Specialist based in Denton, MD. Roger Mcknight practices in Denton, MD. The NPI Number for Roger Mcknight is 1184409864 and holds a License No. PR0563 (Maryland).

The current practice location address for Roger Mcknight is 18 Denton Plz, Denton, MD and can be reached out via phone at 667-292-0335.

Location: 18 Denton Plz, Denton, MD, 21629-9501
person
Provider Profile Details
NPI Number
1184409864
Provider Name
Roger Mcknight
Credential
Provider Entity Type
Individual
Gender
Male
Address
18 Denton Plz, Denton, MD, 21629-9501
Phone Number
667-292-0335
Fax Number
Provider Enumeration Date
08/30/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PR0563 01 MD STATE CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
18 Denton Plz
City
State
Zip
21629-9501
Phone Number
667-292-0335
Fax Number
person
Provider Business Mailing Address Details
Address
18 Denton Plz
City
State
Zip
21629-9501
Phone Number
667-292-0335
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
PR0563 (Maryland)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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