Mr Cornell Keith Knockum, in American Canyon, CA

Mr Cornell Keith Knockum, is a Counselor - Mental Health based in American Canyon, California. Mr Cornell Keith Knockum is licensed to practice in * (Not Available) (license number ) and his current practice location is 229 Newbury Way, American Canyon, California. He can be reached at his office (for appointments etc.) via phone at (707) 246-7920.

NPI number for Mr Cornell Keith Knockum is 1396975769 and his current mailing address is 229 Newbury Way, American Canyon, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396975769.

Contact Information

	Mr Cornell Keith Knockum,
	229 Newbury Way, American Canyon, CA 94503-4228
	(707) 246-7920
	(707) 648-0393

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Cornell Keith Knockum
Gender	Male
Speciality	Counselor - Mental Health
Location	229 Newbury Way, American Canyon, California
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1396975769
Provider Enumeration Date: 07/20/2009
Last Update Date: 07/20/2009

Medical Identifiers

Medical identifiers for Mr Cornell Keith Knockum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396975769	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Cornell Keith Knockum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Cornell Keith Knockum, 229 Newbury Way, American Canyon, CA 94503-4228 Ph: (707) 246-7920	Mr Cornell Keith Knockum, 229 Newbury Way, American Canyon, CA 94503-4228 Ph: (707) 246-7920

Reviews and Comments

Counselor in American Canyon, CA

Jesenia Espinoza, Counselor Medicare: Not Enrolled in Medicare Practice Location: 244 American Canyon Rd Spc 24, American Canyon, CA 94503 Phone: 707-721-5565
Ms. Karen Black, Counselor Medicare: Not Enrolled in Medicare Practice Location: 229 Newbury Way, American Canyon, CA 94503 Phone: 707-246-7920 Fax: 707-648-0393

Mr Cornell Keith Knockum, - Counselor in American Canyon, CA