Individual
VICKI ANN SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP/T
Contact information
Practice address
811 MADISON ST, EVERETT, WA 98203-4543
(425) 212-4200
(425) 212-4240
Mailing address
PO BOX 2569, EVERETT, WA 98213-0569
(425) 212-4200
(425) 212-4240
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60552477
WA
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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