| Doctor Name: | ERIN NORTHRIP |
| NPI Number: | 1104015668 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | P1505051 |
| Business Practice Address: | 2003 Se Walton Blvd Suite C Bentonville, AR - 727123725 |
| Business Phone Number: | 4794648081 |
| Business Fax Number: | 4794640674 |
| Mailing Address: | 4253 N Crossover Rd, FAYETTEVILLE |
| State: | AR |
| Postal Code: | 727034593 |
| Phone Number: | 4795215731 |
| Fax Number: | 4795216520 |
| NPI Enumeration Date: | 10/22/2007 |
| NPI Last Update Date: | 12/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | P1505051 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |