Stephanie Erickson, LCSW
Counselor, Mental Health in Gilbert, AZ. Individual provider (NPI-1).
NPI number1194471391
StatusActive
Last updated in NPPESJun 18, 2024
Details
- NPI
- 1194471391
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Erickson
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 25, 2022
- Certification date
- Jun 18, 2024
- Last updated
- Jun 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LCSW-22350 | AZ | Yes |
Practice location
4001 E Baseline Rd Ste 204Gilbert, AZ 85234-2743
Phone 480-343-9088
Mailing address
974 E Stottler CtGilbert, AZ 85296-3617
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