DANIEL KNUDSON

MAPLE GROVE, MN
NPI1033546445
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-09-30
Last Update Date2015-04-01
Business Address
-- DANIEL KNUDSON LADC
13603 80TH CIR N
MAPLE GROVE, MN 55369-8961
Phone number: 763-274-3120
Mailing Address
-- DANIEL KNUDSON LADC
1900 SILVER LAKE RD NW SUITE 110
NEW BRIGHTON, MN 55112-1786
Phone number: 651-628-9566