Individual
JOSEPH WALTER KNOTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SACIT
Contact information
Practice address
1926 E 2ND ST, APT. 8, SUPERIOR, WI 54880-3578
(715) 718-0013
Mailing address
1926 E 2ND ST, APT. 8, SUPERIOR, WI 54880-3578
(715) 718-0013
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14604-130
WI
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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