Provider Demographics
NPI:1972511749
Name:WETZEL-RASMUSSEN, NATALIE ANN (LPC)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:ANN
Last Name:WETZEL-RASMUSSEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:NATALIE
Other - Middle Name:ANN
Other - Last Name:WETZEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC MA
Mailing Address - Street 1:W10610 CLINIC STREET
Mailing Address - Street 2:
Mailing Address - City:ELCHO
Mailing Address - State:WI
Mailing Address - Zip Code:54428-0278
Mailing Address - Country:US
Mailing Address - Phone:715-275-3934
Mailing Address - Fax:715-275-4533
Practice Address - Street 1:WETZEL RASMUSSEN COUNSELING SERVICES
Practice Address - Street 2:W10610 CLINIC STREET 278
Practice Address - City:ELCHO
Practice Address - State:WI
Practice Address - Zip Code:54428-0278
Practice Address - Country:US
Practice Address - Phone:715-275-3934
Practice Address - Fax:715-275-4533
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3361125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI40977100Medicaid