Individual
MR. NICOLAS KENT KNUDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
2200 BANCROFT AVE, SAN LEANDRO, CA 94577-6108
(510) 618-4600
Mailing address
PO BOX 613, SAN LORENZO, CA 94580-0613
(415) 377-5827
(415) 377-5827
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
2301033783
CA
106H00000X
Marriage & Family Therapist
MFC53922
CA
Other
Enumeration date
06/05/2007
Last updated
04/17/2026
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