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General NPI Number Information
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NPI Number | 1568784668
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Entity Type | Organization
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Legal Business Name | KNUTSON COUNSELING & SEMINARS, INC.
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Dates
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Enumeration Date | 02/17/2010
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 1809 19TH AVE SW
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City | WILLMAR
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State | MN
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Zip | 56201-4946
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Country | US
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Telephone | 320-441-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 328 5TH ST SW
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City | WILLMAR
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State | MN
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Zip | 56201-3200
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Country | US
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Telephone | 320-231-2738
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ELIZABETH HILLSTROM
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Credential |
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Telephone | 320-231-2738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 11513
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License Number State | MN
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