Individual
MONIQUE MCKNUCKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
210 E OLIN AVE, MADISON, WI 53713-1434
(608) 807-1428
(608) 807-1429
Mailing address
210 E OLIN AVE, MADISON, WI 53713-1434
(608) 807-1428
(608) 807-1429
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21077-130
WI
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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