Individual
RYAN D KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC, LPC, ICS-IT
Contact information
Practice address
571 BRAUND ST, ONALASKA, WI 54650
(608) 785-7000
(608) 785-7477
Mailing address
1333 TRAVIS ST, LA CROSSE, WI 54601-6343
(608) 386-6080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16064
WI
101YP2500X
Professional Counselor
Primary
2777
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100065209
—
WI
Enumeration date
03/10/2017
Last updated
07/23/2018
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