Individual
ANDREA LYNNE KNUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
6980 N PORT WASHINGTON RD, SUITE 202, MILWAUKEE, WI 53217-3900
(414) 351-7100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3972-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100024356
—
WI
Enumeration date
02/16/2009
Last updated
08/14/2024
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