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Individual
TARA RENEE SORENSON
Active
Individual
TARA RENEE SORENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3400
MT
101YM0800X
Mental Health Counselor
Primary
8434
MT
Other
Enumeration date
10/21/2016
Last updated
07/27/2026
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