Rachael Knudsen, PSY.D.
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · West Milwaukee, WI
NPI 1053962399 · NPPES record last updated Sep 27, 2019
Key facts
- NPI
- 1053962399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 1610 Miller Park Way
West Milwaukee, WI 53214-3604 - Phone
- (414) 939-7556
- NPI assigned
- Sep 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Interoperability endpoints
- rachael.knudsen@ctcprograms.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
1610 Miller Park Way
West Milwaukee, WI 53214-3604
Mailing address
S88W28118 Lookout LN
Mukwonago, WI 53149-9661
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Rachael.Knudsen@ctcprograms.com |
Other providers in West Milwaukee, WI
- Renee Rochelle Johnson
- Kayla S Jones
- Patrick R Kaul
- Jason Minje Kim
- Sean Matthew Kita
- Preetha Y Kurudiyara
- Labworks, LLC
- Sharada K Lange
- Ana I Lemus
- Levi W Lenzner
All providers in West Milwaukee, WI · Addiction (Substance Use Disorder) Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.