Individual
JEFFREY HOLT KNUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 W. SPENCER ST., OPTIONS TREATMENT PROGRAMS INC., APPLETON, WI 54914
(920) 735-9010
(920) 735-9050
Mailing address
4000 W. SPENCER ST., OPTIONS TREATMENT PROGRAMS INC., APPLETON, WI 54914
(920) 735-9010
(920) 735-9050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13825 130
WI
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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