institution
Kimberly B Rasmussen, Pllc
Professional Counselor in Pocatello, Idaho
NPI 1407363690

Kimberly B Rasmussen, Pllc is a Professional Counselor based in Pocatello, ID and is specialized in Professional. Kimberly B Rasmussen, Pllc practices in Pocatello, ID. The NPI Number for Kimberly B Rasmussen, Pllc is 1407363690 and holds a License No. LCPC-6437 (Idaho).

The current practice location address for Kimberly B Rasmussen, Pllc is 850 E Center St Ste F, Pocatello, ID and can be reached out via phone at 208-243-9308 and via fax at 208-544-9574.

Location: 850 E Center St Ste F, Pocatello, ID, 83201-5737
institution
Provider Profile Details
NPI Number
1407363690
Provider Name
Kimberly B Rasmussen, Pllc
Credential
Provider Entity Type
Organization
Address
850 E Center St Ste F, Pocatello, ID, 83201-5737
Phone Number
208-243-9308
Fax Number
208-544-9574
Provider Enumeration Date
01/09/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1740568658 01 ID TYPE I NPI
institution
Provider Business Practice Location Address Details
Address
850 E Center St Ste F
City
State
Zip
83201-5737
Phone Number
208-243-9308
Fax Number
208-544-9574
person
Provider Business Mailing Address Details
Address
850 E Center St Ste F
City
State
Zip
83201-5737
Phone Number
208-243-9308
Fax Number
208-544-9574
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCPC-6437 (Idaho)
Definition
Definition to come...
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