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Individual

LAURIE JO RASMUSSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMHC

Contact information

Practice address
5564 S 3150 W, ROY, UT 84067-9716
(435) 720-2174
Mailing address
5564 S 3150 W, ROY, UT 84067-9716
(435) 720-2174

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10160739-6004
UT
101YM0800X
Mental Health Counselor
BBH-LCPC-55807
MT
101YM0800X
Mental Health Counselor
CP1122-R
NV
101YM0800X
Mental Health Counselor
LCPC-6862
ID
101YM0800X
Mental Health Counselor
LPC-1717
WY
101YM0800X
Mental Health Counselor
LPC-18650
AZ

Other

Enumeration date
05/03/2010
Last updated
09/26/2023
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