Individual
GREGORY DOMINICK SORENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 HOPKINS ROAD, PLYMOUTH, MA 02360-3547
(508) 728-9622
Mailing address
18 HOPKINS RD, PLYMOUTH, MA 02360-3547
(508) 728-9622
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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