| Mr Kevin A Knudson, CADCIII | |
|
533 Peace Pipe Road, Lac Du Flambeau, WI 54538-0189 | |
| (715) 588-1511 | |
| (715) 588-3903 |
| Full Name | Mr Kevin A Knudson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 533 Peace Pipe Road, Lac Du Flambeau, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578691960 | NPI | - | NPPES |
| 39373600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 14432 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin A Knudson, CADCIII 533 Peace Pipe Road, Lac Du Flambeau, WI 54538-0189 Ph: (715) 588-1511 | Mr Kevin A Knudson, CADCIII 533 Peace Pipe Road, Lac Du Flambeau, WI 54538-0189 Ph: (715) 588-1511 |
Ms. Regina Rae Fox, LPC, CSAC Counselor Medicare: Medicare Enrolled Practice Location: 533 Peace Pipe Road, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 Fax: 715-588-3903 | |
Anna Lynn Johnson, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 Peace Pipe Road, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 Fax: 715-588-3903 | |
Ms. Debra L Neddo, CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 Peace Pipe Road, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 Fax: 715-588-3903 | |
Mrs. Tieheena M Lemerond, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 Peace Pipe Rd, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 Fax: 715-588-3903 | |
Isabella Fallos, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 Peace Pipe Rd, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 | |
Wendy Lindstrom, CADCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 533 Peace Pipe Rd, Lac Du Flambeau, WI 54538 Phone: 715-588-1511 Fax: 715-588-3903 | |
Mrs. Karrie Joann Branfort, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3378 Schilleman Road, Lac Du Flambeau, WI 54538 Phone: 715-588-3303 |