Individual
MICHAEL DOUGLAS SODERSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2100 BERING DR APT 809, HOUSTON, TX 77057-3745
(832) 971-0025
Mailing address
2100 BERING DR APT 809, HOUSTON, TX 77057-3745
(832) 971-0025
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
17891
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17891
LPC
TX
Enumeration date
05/24/2007
Last updated
07/08/2007
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