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General NPI Number Information
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NPI Number | 1972489052
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Entity Type | Individual
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Provider Name | BRIDGET SORENSEN MA, LGPC
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Gender | Female
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 9053 SHADY GROVE CT
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City | GAITHERSBURG
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State | MD
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Zip | 20877-1301
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Country | US
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Telephone | 240-810-3790
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Fax |
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Provider Business Mailing Address
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Address Line | 57 DWIGHT ST APT 2
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City | JERSEY CITY
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State | NJ
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Zip | 07305-4109
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Country | US
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Telephone | 801-310-6195
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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 | LGP16859
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License Number State | MD
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