| Rasmussen Counseling And Spiritual Direction Inc | |
|
3356 Kimball Ave Waterloo IA 50702-5700 | |
| (319) 883-4255 | |
| Not Available |
| Full Name | Rasmussen Counseling And Spiritual Direction Inc |
|---|---|
| Speciality | Social Worker |
| Location | 3356 Kimball Ave, Waterloo, Iowa |
| Authorized Official Name and Position | Laura Rasmussen (OWNER) |
| Authorized Official Contact | 3198834255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rasmussen Counseling And Spiritual Direction Inc 3356 Kimball Ave Waterloo IA 50702-5700 Ph: (319) 883-4255 | Rasmussen Counseling And Spiritual Direction Inc 3356 Kimball Ave Waterloo IA 50702-5700 Ph: (319) 883-4255 |
| NPI Number | 1134772064 |
|---|---|
| Provider Enumeration Date | 07/19/2019 |
| Last Update Date | 07/19/2019 |
| Medicare PECOS PAC ID | 5799015939 |
|---|---|
| Medicare Enrollment ID | O20191001001824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134772064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Laura K Rasmussen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770528853 PECOS PAC ID: 4981893740 Enrollment ID: I20110110000117 |
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