Individual
MICHELLE RENEE SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTER OF COUNSELING
Contact information
Practice address
315 ALLUMBAUGH ST, BOISE, ID 83704-9208
(208) 376-3546
(208) 376-9792
Mailing address
315 ALLUMBAUGH ST, BOISE, ID 83704-9208
(208) 376-3546
(208) 376-9792
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-76
ID
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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