Individual
MRS. RACHEL MICELE SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, LIMHP
Contact information
Practice address
2170 N PLATTE AVE, FREMONT, NE 68025-2630
(402) 720-3992
(402) 753-6445
Mailing address
2170 N PLATTE AVE, FREMONT, NE 68025-2630
(402) 720-3992
(402) 753-6445
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
794
NE
101YM0800X
Mental Health Counselor
Primary
1777
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025115400
—
NE
05
—
10025880800
—
NE
Enumeration date
04/19/2007
Last updated
01/08/2024
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