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Individual

MR. KYLE LEE RASMUSSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS LLP

Contact information

Practice address
1200 N WEST AVE STE 300, JACKSON, MI 49202-2180
(517) 789-1234
(517) 784-7040
Mailing address
538 S 1ST ST, ANN ARBOR, MI 48103-4948
(734) 761-3751

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6301006628
MI

Other

Enumeration date
01/17/2008
Last updated
09/17/2019
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