Individual
NICOLE KNUDSON-DALAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LADC
Contact information
Practice address
5275 EDINA INDUSTRIAL BLVD STE 103, EDINA, MN 55439-2915
(612) 636-1083
Mailing address
5275 EDINA INDUSTRIAL BLVD STE 103, EDINA, MN 55439-2915
(612) 636-1083
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303607
MN
106H00000X
Marriage & Family Therapist
Primary
2440
MN
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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