MEDICARE: RASNIC COUNSELING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center	15663	TX

General Provider Information

NPI Number	:	1295035509
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RASNIC COUNSELING PLLC

Provider Business Mailing Address
First Line	:	101 W MCDERMOTT DR
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-2751
Country	:	US
Telephone Number	:	972-727-0044
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 W MCDERMOTT DR
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-2751
Country	:	US
Telephone Number	:	972-727-0044
Fax Number	:

Authorized Official
Title or Position	:	OWNER/LICENSED PROFESSIONAL COUNSEL
Name	:	DEANNA ROGERS RASNIC
Credential	:	M.A., L.P.C.-S.
Telephone Number	:	972-727-0044

Provider Enumeration Date	:	11/02/2010
Last Update Date	:	11/02/2010

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