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Organization
DRIFTLESS RECOVERY SERVICES, INC.
Active
Organization
DRIFTLESS RECOVERY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT A KNUTSON (PRESIDENT/CO-FOUNDER)
(608) 519-5906
Entity
Organization
Contact information
Practice address
444 MAIN ST, SUITE 301, LA CROSSE, WI 54601-3261
(608) 386-6154
Mailing address
114 VERNON ST, WESTBY, WI 54667-1122
(608) 386-6154
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12863-130
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
16304-130
WI
101YM0800X
Mental Health Counselor
1231-226
WI
2084P0800X
Psychiatry Physician
27182
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055508800
—
WI
01
—
1093001703
NPI
—
01
—
1215147558
NPI
—
01
—
1992787725
NPI
—
01
—
39330PL
BCBS
—
Enumeration date
02/25/2014
Last updated
08/05/2024
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