Individual
DR. RACHAEL KNUDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1610 MILLER PARK WAY, WEST MILWAUKEE, WI 53214-3604
(414) 939-7556
Mailing address
S88W28118 LOOKOUT LN, MUKWONAGO, WI 53149-9661
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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