# KNUDSON BAUER COUNSELING, PLLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679015689
- **Authorized official:** MRS. THERESA MARY KNUDSON LPCC (BUSINESS OWNER/COUNSELOR)
- **Authorized official phone:** (701) 885-1080

## Contact information

- **Practice address:** 1407 24TH AVE S, SUITE \#203, GRAND FORKS, ND 58201-6761
- **Practice address phone:** (701) 765-3228
- **Practice address fax:** (134) 741-2887
- **Mailing address:** 1407 24TH AVE S, SUITE \#203, GRAND FORKS, ND 58201-6761
- **Mailing address phone:** (701) 765-3228
- **Mailing address fax:** (134) 741-2887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 767-12-15-13-274 | ND | Yes |

## Other

- **Enumeration date:** 11/08/2016
- **Last updated:** 11/08/2016