Doctor Name: | MR. ERIK DURMER |
NPI Number: | 1144407214 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | 1091 |
Business Practice Address: | 31 Lake St Gardner, MA - 014403879 |
Business Phone Number: | 9786329400 |
Business Fax Number: | 9786329218 |
Mailing Address: | 31 Lake St, Po Box 449 GARDNER |
State: | MA |
Postal Code: | 014403879 |
Phone Number: | 9786329400 |
Fax Number: | 9786329218 |
NPI Enumeration Date: | 01/30/2008 |
NPI Last Update Date: | 01/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1091 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |