Individual
TONI SORENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1053 W 1020 S, PROVO, UT 84601-5656
(801) 810-1234
Mailing address
1777 N 1050 W, PROVO, UT 84604-1160
(484) 947-3340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12314786-6009
UT
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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