Madison Elizabeth Ericksen, LCMHC
Counselor, Professional in Black Mountain, NC. Individual provider (NPI-1).
NPI number1093290751
StatusActive
Last updated in NPPESJul 31, 2023
Details
- NPI
- 1093290751
- Entity type
- Individual (NPI-1)
- Name
- Madison Elizabeth Ericksen
- Credential
- LCMHC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2018
- Certification date
- Jul 31, 2023
- Last updated
- Jul 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 13817 | NC | Yes |
| 101YM0800X | Counselor, Mental Health | 13817 | NC |
Practice location
305 N Dougherty StBlack Mountain, NC 28711-3353
Phone 828-406-0667
Mailing address
305 N Dougherty StBlack Mountain, NC 28711-3353
Phone 828-406-0667
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