Individual
BONNIE L RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LP
Contact information
Practice address
1930 COON RAPIDS BOULEVARD, FAMILY LIFE MENTAL HEALTH CENTER, COON RAPIDS, MN 55433
(763) 427-7964
(763) 427-7976
Mailing address
1930 COON RAPIDS BOULEVARD, FAMILY LIFE MENTAL HEALTH CENTER, COON RAPIDS, MN 55433
(763) 427-7964
(763) 427-7976
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3426
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1035249
PREFERRED ONE
MN
01
—
139M5RA
BCBS
MN
05
—
169333600
—
MN
01
—
6277900
UBH
—
01
—
HP35484
HEALTH PARTNERS
—
Enumeration date
04/08/2006
Last updated
12/10/2008
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