Individual provider · Type 1 NPI

Amanda Knudtson Captain

Mental Health Counselor · Madison, WI

NPI number 1669881785 Active

Practice location

1191 N Sherman Ave
Madison, WI 53704-4234

Call (608) 421-3239 Map

Fax (608) 270-2238

Mailing address

1137 N Sherman Ave
Madison, WI 53704-4234

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X389-228 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1669881785

Amanda Knudtson Captain's National Provider Identifier is 1669881785, issued on Aug 4, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Madison, WI. The record was last updated on Aug 4, 2014.