Susan Erickson
Counselor in Albuquerque, NM. Individual provider (NPI-1).
NPI number1124375191
StatusActive
Last updated in NPPESAug 9, 2012
Details
- NPI
- 1124375191
- Entity type
- Individual (NPI-1)
- Name
- Susan Erickson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2012
- Last updated
- Aug 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
805 Tijeras Ave NwAlbuquerque, NM 87102-3099
Phone 505-242-1010
Mailing address
805 Tijeras Ave NwAlbuquerque, NM 87102-3099
Phone 505-242-1010
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