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NPI Code Detail

MEDICARE: BECKY MARIE RASMUSSEN LCPC

MEDICARE: BECKY MARIE RASMUSSEN LCPC
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
1101YM0800XMental Health CounselorLH61508699WA
2101YP2500XProfessional CounselorCC7390ME
3101YM0800XMental Health CounselorMHC01654RI

General Provider Information

NPI Number : 1932961109
Entity Type Code : Individual
Provider Name (Legal Business Name) : BECKY MARIE RASMUSSEN LCPC
Provider Business Mailing Address
First Line : 707 SABLE OAKS DR STE 230
Second Line :
City : SOUTH PORTLAND
State : ME
Zip : 04106-6954
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 707 SABLE OAKS DR STE 230
Second Line :
City : SOUTH PORTLAND
State : ME
Zip : 04106-6954
Country : US
Telephone Number : 207-387-0801
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2024
Last Update Date : 05/08/2026

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Directions to “ BECKY MARIE RASMUSSEN LCPC” Practice Location

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