Travis James Ericksen LPC

NPI 1285878413 - Counselor - 101YP2500X

NPI Details
NPI 1285878413
Gender Male
Enumeration Date 05/01/2009
Last Updated 05/27/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
677A EAST MAIN
CENTREVILLE MI, 49032, US
Phone (269) 467-1000
Fax (269) 467-3072
Business Location
677A EAST MAIN
CENTREVILLE MI, 49032, US
Phone (269) 467-1000
Fax (269) 467-3072
Toxanomy
Taxonomy Code 101YP2500X
License State Michigan
License Number 6401010965
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According to our database, Mr. Travis James Ericksen LPC NPI is 1285878413, taxonomy code is 101YP2500X and license number is 6401010965, license state is located at Michigan. Travis James Ericksen LPC physically located at 677a East Main, Centreville MI, 49032. NPI Number Travis James Ericksen LPC has the Individual type.

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1285878413 NPI number is provided on an as is basis without warranty of any kind. 1285878413 is maintained by the National Plan & Provider Enumeration System. The contents of Travis James Ericksen LPC are for informational purposes only.