Organization
CHASKA COUNSELING AND GUIDANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANN KNUDSON LICSW (SOLE PROPRIETOR)
(952) 484-3509
Entity
Organization
Contact information
Practice address
562 BAVARIA LN, CHASKA, MN 55318-4597
(952) 484-3509
(952) 361-0145
Mailing address
562 BAVARIA LN, CHASKA, MN 55318-4597
(952) 484-3509
(952) 361-0145
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10527
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4138228110
—
MN
Enumeration date
11/13/2008
Last updated
11/13/2008
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