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Individual
ERICKA VERNON
Active
Individual
ERICKA VERNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCTP-II
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ACTIVE
NY
172V00000X
Community Health Worker
ACTIVE
NY
Other
Enumeration date
10/24/2018
Last updated
04/02/2020
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