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Individual
JEREMY ERICKSON
Active
Individual
JEREMY ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAMFTC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2608
MS
101YP2500X
Professional Counselor
A1708258
AR
Other
Enumeration date
08/16/2018
Last updated
04/03/2024
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