Individual
MR. RUSSELL DOUGLAS SORENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
879 N MAIN ST, RICHFIELD, UT 84701-1840
(435) 896-9561
(435) 896-9564
Mailing address
879 N MAIN ST, RICHFIELD, UT 84701-1840
(435) 896-9561
(435) 896-9564
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/04/2012
Last updated
07/16/2024
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