Individual
JODY MARIE SORENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12500 NW MILITARY HWY, SUITE 250, SAN ANTONIO, TX 78231-1871
(210) 563-2834
Mailing address
12500 NW MILITARY HWY, SUITE 250, SAN ANTONIO, TX 78231-1871
(210) 563-2834
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
64846
TX
103T00000X
Psychologist
Primary
2375
CO
103TS0200X
School Psychologist
0334000
CO
103TS0200X
School Psychologist
33348
TX
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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