Michael Douglas Soderstrom in Houston - Counselor

Michael Douglas Soderstrom - NPI 1740491687

Michael Douglas Soderstrom is a Counselor in Houston, Texas. Michael Douglas Soderstrom practices all healthcare services and medical treatments related to Counselor. The NPI Number for Michael Douglas Soderstrom is 1740491687. The last update date is 2007-07-08.

Michael Douglas Soderstrom's current location address is 2100 Bering Dr Apt 809, Houston, Texas. You can contact this provider via phone number 8329710025. The mailing address for Michael Douglas Soderstrom is 2100 Bering Dr Apt 809, Houston, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Douglas Soderstrom
Address 2100 Bering Dr Apt 809, Houston, Texas
Phone Number 8329710025
Fax Number
Sole Proprietor Y
Credentials LPC

NPI Number Detail

NPI Number 1740491687
Provider Enumeration Date 2007-05-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2100 Bering Dr Apt 809
City Houston
State Texas (TX)
Post Code 770573745
Phone Number 8329710025
Fax Number

Provider's Primary Taxonomy Detail

Speciality Counselor
Taxonomy 101Y00000X
Licence No 17891
Definition:
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
17891 TX LPC

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FAQs about Michael Douglas Soderstrom

What is the unique identifier code issued to Michael Douglas Soderstrom by the Centers for Medicare & Medicaid Services?

The Michael Douglas Soderstrom has been assigned the NPI (National Provider Identifier) 1740491687. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Michael Douglas Soderstrom is physically located?

The Michael Douglas Soderstrom is situated at the following address: 2100 Bering Dr Apt 809, Houston, TX 770573745.

What is the Michael Douglas Soderstrom's area of specialization and corresponding taxonomy classification?

The Michael Douglas Soderstrom's specialty field is Counselor, and it falls under the taxonomy code 101Y00000X, which categorizes healthcare providers based on their specialties.

On what date did the Michael Douglas Soderstrom receive its 1740491687 assignment from the Centers for Medicare & Medicaid Services?

The Michael Douglas Soderstrom was assigned its 1740491687 by the Centers for Medicare & Medicaid Services on 2007-05-24.

As of what date was the information pertaining to Michael Douglas Soderstrom, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Michael Douglas Soderstrom, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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