Individual
BRETT KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC-IT, PC-T
Contact information
Practice address
444 MAIN ST, SUITE 301, LA CROSSE, WI 54601-3261
(608) 386-6154
Mailing address
444 MAIN ST, SUITE 301, LA CROSSE, WI 54601-3261
(608) 386-6154
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16304-130
WI
101YP2500X
Professional Counselor
Primary
5317-125
WI
Other
Enumeration date
06/21/2011
Last updated
04/22/2014
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