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Cassidy Renee Sorensen

Counselor, Mental Health in Salem, OR. Individual provider (NPI-1).

NPI number1114536745
StatusActive
Last updated in NPPESJul 29, 2020

Details

NPI
1114536745
Entity type
Individual (NPI-1)
Name
Cassidy Renee Sorensen
Sex
Female
Sole proprietor
No
Enumeration date
Jul 29, 2020
Certification date
Jul 29, 2020
Last updated
Jul 29, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

3400 State St Ste G750
Salem, OR 97301-7012

Phone 971-237-7502

Mailing address

3400 State St Ste G750
Salem, OR 97301-7012

Phone 971-237-7502

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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