Sorenson, Virginia

Sorenson, Virginia is an sole proprietor health care provider with primary practice located at 411 Birchwood Ave , White Bear Lake MN 55110-1802. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Sorenson, Virginia can be contacted via phone (612) 385-1156.

Contact Information

Primary practice address
411 Birchwood Ave White Bear Lake MN 55110-1802
Phone: (612) 385-1156
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP1355 Minnesota
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 680 Minnesota

Profile Details

NPI number 1851497879
LBN Legal business name Sorenson, Virginia
Credentials LP LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2006
Last updated Dec 13th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851497879 NPPES
Minnesota MEDICAID 702678100

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