| Doctor Name: | BETTY JEAN SORENSEN |
| NPI Number: | 1255466736 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS,MED,LPC |
| License Number: | 242 LPC |
| Business Practice Address: | 315 Main St Lander, WY - 82520 |
| Business Phone Number: | 3073324515 |
| Business Fax Number: | 3073324899 |
| Mailing Address: | 11 Pheasant Run Dr, LANDER |
| State: | WY |
| Postal Code: | 825209784 |
| Phone Number: | 3073323731 |
| Fax Number: | |
| NPI Enumeration Date: | 02/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 242 LPC |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |