Individual
ERIC KRISTEN SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
405 LAKE SHORE DR E, ASHLAND, WI 54806-1837
(705) 682-3523
(715) 682-3526
Mailing address
64123 LIPPO RD, MARENGO, WI 54855-3506
(715) 278-3335
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3460 - 125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43597800
—
WI
Enumeration date
02/20/2007
Last updated
07/09/2007
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