Individual
MRS. CAROL R. RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
209 2ND ST SE, SIDNEY, MT 59270-4305
(406) 433-4097
Mailing address
1818 27TH ST W, WILLISTON, ND 58801-2408
(701) 774-0686
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1055
MT
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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