Doctor Name: | HEATHER RATHJEN |
NPI Number: | 1134589583 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 10802 |
Business Practice Address: | 120 N Dewey St North Platte, NE - 691015438 |
Business Phone Number: | 3085323000 |
Business Fax Number: | |
Mailing Address: | 120 N Dewey St, NORTH PLATTE |
State: | NE |
Postal Code: | 691015438 |
Phone Number: | 3085344471 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2016 |
NPI Last Update Date: | 02/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 10802 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |