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Individual
NOLA WILEEN KNUDSEN
Active
Individual
NOLA WILEEN KNUDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001219
CO
101YM0800X
Mental Health Counselor
LPCC.0014961
CO
101YP2500X
Professional Counselor
Primary
LPCC.0014961
CO
Other
Enumeration date
04/02/2019
Last updated
04/11/2021
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