Individual
HEATHER SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-CS, ICCS, SAP
Contact information
Practice address
10333 EL CAMINO REAL, ATASCADERO, CA 93422-5808
(805) 468-2000
Mailing address
2178 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4535
(805) 781-4700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
35612
CA
Other
Enumeration date
10/28/2013
Last updated
01/15/2025
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