| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANGEL SORENSEN | 1578299517 | 2022-09-29 |
Angel Sorensen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1578299517. Registration indicates Angel Sorensen is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, ) (Behavioral Health & Social Service Providers, Behavior Technician) (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Angel Sorensen |
| Practice Office Address | 1915 HAZEL AVE MEDFORD, OR US |
| Practice Office Telephone | 5414762373 |
| Mailing Address | 1215 SW G ST GRANTS PASS, OR 975262544 US |
| Business Telephone | 5414762373 |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor |
OR |
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician |