Knudsen, Nola Wileen

Knudsen, Nola Wileen is an individual health care provider with primary practice located at 548 Front Street , Fairplay CO 80440. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Knudsen, Nola Wileen can be contacted via phone (719) 960-4598.

Contact Information

Primary practice address
548 Front Street Fairplay CO 80440
Phone: (719) 960-4598
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ACD.0001219 Colorado
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPCC.0014961 Colorado
Behavioral Health & Social Service Providers / Professional 101YP2500X LPCC.0014961 Colorado

Profile Details

NPI number 1881156636
LBN Legal business name Knudsen, Nola Wileen
Credentials LAC, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2019
Last updated Apr 11th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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