| Kimberly B Rasmussen, Pllc | |
|
850 E Center St Ste F Pocatello ID 83201-5737 | |
| (208) 243-9308 | |
| (208) 544-9574 |
| Full Name | Kimberly B Rasmussen, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 850 E Center St Ste F, Pocatello, Idaho |
| Authorized Official Name and Position | Kimberly Bernt (OWNER) |
| Authorized Official Contact | 2082439308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly B Rasmussen, Pllc 850 E Center St Ste F Pocatello ID 83201-5737 Ph: (208) 243-9308 | Kimberly B Rasmussen, Pllc 850 E Center St Ste F Pocatello ID 83201-5737 Ph: (208) 243-9308 |
| NPI Number | 1407363690 |
|---|---|
| Provider Enumeration Date | 01/09/2018 |
| Last Update Date | 10/03/2022 |
| Certification Date | 10/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407363690 | NPI | - | NPPES |
| 1740568658 | Other | ID | TYPE I NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LCPC-6437 (Idaho) | Primary |
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