Individual
MS. LISA M SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LMHP
Contact information
Practice address
1011 LEAVENWORTH ST, OMAHA, NE 68102-2933
(402) 614-4870
(402) 614-4873
Mailing address
1011 LEAVENWORTH ST, OMAHA, NE 68102-2933
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3004
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025851800
—
NE
Enumeration date
08/07/2013
Last updated
08/07/2013
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