Individual
MR. AMMON SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APC
Contact information
Practice address
198 E CENTER ST, MOAB, UT 84532-2430
(435) 259-6131
(435) 259-5369
Mailing address
198 E CENTER ST, MOAB, UT 84532-2430
(435) 259-6131
(435) 259-5369
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8149517-6009
UT
Other
Enumeration date
01/31/2011
Last updated
01/04/2012
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