Individual provider · Type 1 NPI
Nola Wileen Knudsen, LAC, LPC
Professional Counselor · Fairplay, CO
NPI number
1881156636
Active
Practice location
548 Front Street
Fairplay, CO 80440
Mailing address
PO Box 1344
Fairplay, CO 80440-1344
Other practice locations
- 60615 US Hwy 285, Bailey, CO 80421 · (719) 960-4598
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0001219 (CO) |
| Mental Health Counselor | 101YM0800X | LPCC.0014961 (CO) |
| Professional Counselor Primary | 101YP2500X | LPCC.0014961 (CO) |
Professional Counselor: Definition to come...
3 other providers at this address
Other professional counselor providers in Fairplay
About NPI 1881156636
Nola Wileen Knudsen, LAC, LPC's National Provider Identifier is 1881156636, issued on Apr 2, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fairplay, CO. The record was last updated on Apr 11, 2021.