person
Mr. Kevin A Knudson, CADCIII
Addiction (Substance Use Disorder) Counselor in Lac Du Flambeau, Wisconsin
NPI 1578691960

Kevin A Knudson is an Addiction (Substance Use Disorder) Counselor based in Lac Du Flambeau, WI and is specialized in Addiction (Substance Use Disorder). Kevin A Knudson practices in Lac Du Flambeau, WI and has the professional credentials of CADCIII. The NPI Number for Kevin A Knudson is 1578691960 and holds a License No. 14432 (Wisconsin).

The current practice location address for Kevin A Knudson is 533 Peace Pipe Road, Lac Du Flambeau, WI and can be reached out via phone at 715-588-1511 and via fax at 715-588-3903.

Location: 533 Peace Pipe Road, Lac Du Flambeau, WI, 54538-0189
person
Provider Profile Details
NPI Number
1578691960
Provider Name
Kevin A Knudson
Credential
CADCIII
Provider Entity Type
Individual
Gender
Male
Address
533 Peace Pipe Road, Lac Du Flambeau, WI, 54538-0189
Phone Number
715-588-1511
Fax Number
715-588-3903
Provider Enumeration Date
02/28/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39373600 05 WI
institution
Provider Business Practice Location Address Details
Address
533 Peace Pipe Road
City
State
Zip
54538-0189
Phone Number
715-588-1511
Fax Number
715-588-3903
person
Provider Business Mailing Address Details
Address
533 Peace Pipe Road
City
State
Zip
54538-0189
Phone Number
715-588-1511
Fax Number
715-588-3903
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
14432 (Wisconsin)
Definition
Definition to come...
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