Knutson, Amanda M

Knutson, Amanda M is an individual health care provider with primary practice located at 1400 Madison Ave Ste 628 , Mankato MN 56001-5488. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Knutson, Amanda M can be contacted via phone (507) 779-7366.

Contact Information

Primary practice address
1400 Madison Ave Ste 628 Mankato MN 56001-5488
Phone: (507) 779-7366
Fax: (855) 847-9876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 00433 Minnesota

Profile Details

NPI number 1366505935
LBN Legal business name Knutson, Amanda M
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Mar 12th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366505935 NPPES
Minnesota MEDICAID 1366505935

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