Individual
AMBER PATRICIA KNUDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
63360 BRITTA STREET BLDG. #1, BEND, OR 97703-4822
(541) 322-7684
Mailing address
63360 BRITTA STREET BLDG. #1, BEND, OR 97703
(541) 322-7684
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
10759
OR
Other
Enumeration date
08/24/2007
Last updated
06/04/2024
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