Individual
NISA NIKOL SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 PARK AVE, CRANSTON, RI 02910-3227
(401) 396-7649
(401) 208-2482
Mailing address
1020 PARK AVE STE 211, CRANSTON, RI 02910-3227
(401) 396-7649
(401) 208-2482
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
10/16/2025
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