Organization
KIMBERLY B RASMUSSEN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BERNT LCPC (OWNER)
(208) 243-9308
Entity
Organization
Contact information
Practice address
850 E CENTER ST STE F, POCATELLO, ID 83201-5737
(208) 243-9308
(208) 544-9574
Mailing address
850 E CENTER ST STE F, POCATELLO, ID 83201-5737
(208) 243-9308
(208) 544-9574
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-6437
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740568658
TYPE I NPI
ID
Enumeration date
01/09/2018
Last updated
10/03/2022
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