Organization
KNUDSEN COUNSELING EDUCATIONAL AND BUSINESS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOLA KNUDSEN LPC LAC (DIRECTOR)
(719) 960-4598
Entity
Organization
Contact information
Practice address
548 FRONT STREET, FAIRPLAY, CO 80440
(719) 960-4598
Mailing address
PO BOX 1344, FAIRPLAY, CO 80440-1344
(719) 960-4598
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
06/28/2024
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