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General NPI Number Information
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NPI Number | 1225627474
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Entity Type | Individual
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Provider Name | KATHERINE RASMUSSEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 506 E WESTERN AVE STE 104
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City | AVONDALE
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State | AZ
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Zip | 85323-2422
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Country | US
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Telephone | 602-230-7373
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Fax | 480-629-8577
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Provider Business Mailing Address
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Address Line | 3101 N CENTRAL AVE STE 550
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City | PHOENIX
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State | AZ
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Zip | 85012-2635
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Country | US
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Telephone | 602-230-7373
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-22345
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License Number State | AZ
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