Individual provider · Type 1 NPI

Maurissa Joan Sorensen, EDM

Mental Health Counselor · Camarillo, CA

NPI number 1629328513 Active

Practice location

975 Flynn Rd
Camarillo, CA 93012-8704

Call (805) 312-5643 Map

Mailing address

1722 S Lewis Rd
Camarillo, CA 93012-8520

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner 225400000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1629328513

Maurissa Joan Sorensen, EDM's National Provider Identifier is 1629328513, issued on Sep 18, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Camarillo, CA. The record was last updated on Sep 15, 2014.