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Individual
MR. ERIC OLIVER EMERSON
Active
Individual
MR. ERIC OLIVER EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. ED. LISAC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-1242
AZ
101YM0800X
Mental Health Counselor
—
AZ
101YS0200X
School Counselor
—
AZ
Other
Enumeration date
04/21/2010
Last updated
10/14/2013
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