Individual
PHILIP SORENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
100 N 72ND AVE STE 207-208, WAUSAU, WI 54401-9042
(715) 301-0267
Mailing address
232 MILLINGTON LN APT 3, HARTLAND, WI 53029-1619
(715) 370-2189
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11132
WI
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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