Doctor Name: | ERICA FARMER |
NPI Number: | 1245500636 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC-S |
License Number: | 62378 |
Business Practice Address: | 105 E Main St Ste 207 Brenham, TX - 778333785 |
Business Phone Number: | 9792030400 |
Business Fax Number: | |
Mailing Address: | Po Box 1521, BRENHAM |
State: | TX |
Postal Code: | 778341521 |
Phone Number: | 9792030400 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2012 |
NPI Last Update Date: | 01/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 62378 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |