Rasmussen, Michele L

Rasmussen, Michele L is an individual health care provider with primary practice located at 400 S Townline Rd , Wautoma WI 54982. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Rasmussen, Michele L can be contacted via phone (920) 787-5514.

Contact Information

Primary practice address
400 S Townline Rd Wautoma WI 54982
Phone: (920) 787-5514
Fax: (920) 787-4737
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3540-125 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3540-125 Wisconsin

Profile Details

NPI number 1063563146
LBN Legal business name Rasmussen, Michele L
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Nov 8th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063563146 NPPES
Wisconsin MEDICAID 40988300

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