Individual
WENDY BERNADETTE SORENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
14300 N OTTER TAIL WAY, BOISE, ID 83714-1924
(208) 870-0054
Mailing address
14300 N OTTER TAIL WAY, BOISE, ID 83714-1924
(208) 870-0054
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-10535
ID
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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