Provider Demographics
NPI:1114046380
Name:RASLEY, CORTNEY K (MA, NCC, LMHC)
Entity Type:Individual
Prefix:MISS
First Name:CORTNEY
Middle Name:K
Last Name:RASLEY
Suffix:
Gender:F
Credentials:MA, NCC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 W BOONE AVE
Mailing Address - Street 2:SUITE 577
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-2354
Mailing Address - Country:US
Mailing Address - Phone:509-939-9994
Mailing Address - Fax:509-850-3638
Practice Address - Street 1:316 W BOONE AVE
Practice Address - Street 2:SUITE 577
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-2354
Practice Address - Country:US
Practice Address - Phone:509-939-9994
Practice Address - Fax:509-850-3638
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60032260101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA213979OtherN.C.C. CERTIFICATE NUMBER
WA40036Medicaid
WALH 60032260OtherMENTAL HEALTH COUNSELOR LICENSE
WARC00043855OtherREGISTERED COUNSELOR
WA213979OtherN.C.C. CERTIFICATE NUMBER