MRS. Tabitha Soderstrom, MS

NPI #1013556166 in White Bear Lake, Minnesota

Provider Information

NPI Number: 1013556166
Entity Type: Individual
Name: MRS. Tabitha Soderstrom, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: MS
Enumeration Date: Jan 6, 2020
Last Updated: Jan 6, 2020

Practice Location

Address: 3596 LINDEN AVE
City: White Bear Lake
State: Minnesota
ZIP Code: 55110-4693
Phone: (507) 215-2459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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