Ebony Erickson
Counselor, Mental Health in Sparta, NJ. Individual provider (NPI-1).
NPI number1154001063
StatusActive
Last updated in NPPESJul 25, 2023
Details
- NPI
- 1154001063
- Entity type
- Individual (NPI-1)
- Name
- Ebony Erickson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 25, 2023
- Certification date
- Jul 25, 2023
- Last updated
- Jul 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 37PC00755700 | NJ | Yes |
Practice location
191 Woodport RdSparta, NJ 07871-2607
Phone 973-691-3030
Mailing address
18 Timberview DrSussex, NJ 07461-4416
Phone 215-908-7730
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