| Provider / Organization | NPI | Date Certified |
|---|---|---|
| STACIE L. RASMUSSEN | 1487247128 | 2021-02-13 |
Stacie L. Rasmussen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1487247128. Registration indicates Stacie L. Rasmussen is a provider of services with a specialization in Behavioral Health & Social Service Providers, Marriage & Family Therapist (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Ms. Stacie L. Rasmussen LMFT |
| Practice Office Address | 5685 S 1475 E STE 3B OGDEN, UT US |
| Practice Office Telephone | 8017914538 |
| Mailing Address | 3543 SUNRISE CIR MOUNTAIN GREEN, UT 840506741 US |
| Business Telephone | 8017914538 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 3543 Sunrise Cir | Mountain Green, UT 840506741 | 8017914538 |
| Code | Practice | License No State |
|---|---|---|
| 106H00000X PRIMARY | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | 11001131-3902
UT |