Individual
VIRGINIA SORENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP LMFT
Contact information
Practice address
411 BIRCHWOOD AVE, WHITE BEAR LAKE, MN 55110-1802
(612) 385-1156
Mailing address
411 BIRCHWOOD AVE, WHITE BEAR LAKE, MN 55110-1802
(612) 385-1156
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1355
MN
106H00000X
Marriage & Family Therapist
680
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
702678100
—
MN
Enumeration date
09/16/2006
Last updated
12/13/2023
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