Provider Demographics
NPI:1124243829
Name:RASMUSSEN, DEBBIE JEAN (MFT)
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:JEAN
Last Name:RASMUSSEN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 MORNING MIST CT
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-9250
Mailing Address - Country:US
Mailing Address - Phone:775-425-5851
Mailing Address - Fax:775-355-7115
Practice Address - Street 1:835 ROCK BLVD
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-4361
Practice Address - Country:US
Practice Address - Phone:775-425-5851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01042106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist