Provider Demographics
NPI:1851040182
Name:RASMUSSEN, ALAN FRANK (LCMHCA)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:FRANK
Last Name:RASMUSSEN
Suffix:
Gender:M
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:484 BROOKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-3800
Mailing Address - Country:US
Mailing Address - Phone:828-226-0722
Mailing Address - Fax:
Practice Address - Street 1:484 BROOKSIDE DR
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-3800
Practice Address - Country:US
Practice Address - Phone:828-226-0722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA17442101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health