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QUEST SEXUALITY SPECIFIC SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN JOHN SORENSEN M.A. (PROFESSIONAL COUNSELOR)
(612) 703-5275
Entity
Organization

Contact information

Practice address
25 7TH ST W, SAINT PAUL, MN 55102-1103
(651) 266-5213
Mailing address
25 7TH ST W, SAINT PAUL, MN 55102-1103
(651) 266-5213

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC00676
MN

Other

Enumeration date
03/15/2010
Last updated
03/15/2010
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