Organization
KNUSTON COUNSELING AND SEMINARS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELOUISE A KNUTSON LICSW (OWNER, SUPERVISOR)
(320) 235-1121
Entity
Organization
Contact information
Practice address
1604 1ST ST SW, SUITE NUMBER #225, WILLMAR, MN 56201-4243
(320) 235-1121
(320) 235-0099
Mailing address
1604 1ST ST S, SUITE NUMBER #225, WILLMAR, MN 56201-4243
(320) 235-1121
(320) 235-0099
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1151
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011064700
—
MN
Enumeration date
05/14/2014
Last updated
05/14/2014
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