Individual
JUSTIN MCKNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 5TH ST S STE 507, LA CROSSE, WI 54601-4018
(608) 790-2128
Mailing address
115 5TH ST S STE 507, LA CROSSE, WI 54601-4018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3460226
WI
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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