# PHYLLIS ERICSON-DAVIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114323367
- **Gender:** F
- **Credential:** PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YP1600X | Pastoral Counselor | \#75132117 | WA | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | — |
| 103TF0000X | Family Psychologist | — | NULL | — |
| 103TF0200X | Forensic Psychologist | — | NULL | — |
| 103TH0100X | Health Service Psychologist | — | NULL | — |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist | — | NULL | — |
| 103TP0814X | Psychoanalysis Psychologist | — | NULL | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | NULL | — |
| 103TS0200X | School Psychologist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |

## Other

- **Enumeration date:** 11/17/2014
- **Last updated:** 11/19/2014