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General NPI Number Information
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NPI Number | 1861845562
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Entity Type | Individual
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Provider Name | KATERINA SORRELL
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Gender | Female
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Dates
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Enumeration Date | 07/18/2016
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 260 NEWPORT CENTER DR
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7520
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Country | US
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Telephone | 949-464-7990
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15003
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City | NEWPORT BEACH
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State | CA
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Zip | 92659-5003
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Country | US
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Telephone | 949-464-7990
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | LPC-MHSP7959
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CP1146
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4909
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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