Individual
MS. DIANNE MARIE KNUTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1700 BROADWAY SUITE 3, NEW VISIONS CENTER, ALEXANDRIA, MN 56308
(320) 763-0124
(320) 763-0126
Mailing address
1700 BROADWAY SUITE 103, NEW VISIONS CENTER, ALEXANDRIA, MN 56308
(320) 763-0124
(320) 763-0126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300645
MN
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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