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Individual

STEPHANIE KNUDSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2720 E YAMPA ST, COLORADO SPRINGS, CO 80909-5082
(214) 732-7099
Mailing address
2310 BUSH CIR, CARROLLTON, TX 75007-2005

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
42670
TX
106H00000X
Marriage & Family Therapist
Primary
203312
TX

Other

Enumeration date
07/26/2021
Last updated
07/26/2021
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