Organization
BLUEBIRD COUNSELING OF LAKE COUNTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER E SORENSEN LPC (THERAPIST/OWNER)
(270) 993-4705
Entity
Organization
Contact information
Practice address
148 E MILWAUKEE ST # 1095, JEFFERSON, WI 53549-1636
(270) 993-4705
Mailing address
148 E MILWAUKEE ST # 1095, JEFFERSON, WI 53549-1636
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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