Doctor Name: | CHRISTINE ERICKSON |
NPI Number: | 1013380625 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 267963-6009 |
Business Practice Address: | 435 E Tabernacle St Suite 201 Saint George, UT - 847702979 |
Business Phone Number: | 4356881111 |
Business Fax Number: | |
Mailing Address: | 435 E Tabernacle St, Suite 201 SAINT GEORGE |
State: | UT |
Postal Code: | 847702979 |
Phone Number: | 4356881111 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2015 |
NPI Last Update Date: | 11/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 267963-6009 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |