Doctor Name: | SARA A ERIE |
NPI Number: | 1154508216 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS NCC LPCC LP |
License Number: | 00729 |
Business Practice Address: | 40520 County Highway 34 Mental Health Ogema, MN - 565699612 |
Business Phone Number: | 2189836325 |
Business Fax Number: | 2189836336 |
Mailing Address: | 40520 County Highway 34, Mental Health OGEMA |
State: | MN |
Postal Code: | 565699612 |
Phone Number: | 2189836325 |
Fax Number: | 2189836336 |
NPI Enumeration Date: | 01/30/2008 |
NPI Last Update Date: | 03/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 00729 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |