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General NPI Number Information
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NPI Number | 1144959370
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Entity Type | Organization
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Legal Business Name | MICHAEL N SONN, LICENSED CLINICAL SOCIAL WORKER, PC
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Dates
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Enumeration Date | 06/04/2022
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Last Update Date | 06/22/2025
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Provider Practice Location Address
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Address Line | 920 SAMOA BLVD STE 209
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City | ARCATA
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State | CA
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Zip | 95521-6696
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Country | US
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Telephone | 707-940-9528
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1254
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City | WILLOW CREEK
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State | CA
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Zip | 95573-1254
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Country | US
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Telephone | 707-881-9493
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Fax |
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Authorized Official
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Title or Position | THERAPIST/PRESIDENT
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Name | MICHAEL NOEL SONN
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Credential | LCSW
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Telephone | 707-881-9493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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