Provider Demographics
NPI:1386407112
Name:RASAR COUNSELING SERVICES
Entity type:Organization
Organization Name:RASAR COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPCC
Authorized Official - Prefix:DR
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:RASAR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:909-654-8950
Mailing Address - Street 1:1737 VALLEY FALLS AVE
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-5702
Mailing Address - Country:US
Mailing Address - Phone:615-957-7050
Mailing Address - Fax:
Practice Address - Street 1:12 NEVADA ST STE B
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-4222
Practice Address - Country:US
Practice Address - Phone:909-654-8950
Practice Address - Fax:909-363-1801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty