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Organization
JASON ERICKSON LCP LLC
Active
Organization
JASON ERICKSON LCP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON PAUL ERICKSON LCP (OWNER)
(620) 481-1311
Entity
Organization
Contact information
Practice address
250 N ROCK RD STE 370, WICHITA, KS 67206-2243
(620) 481-1311
(316) 333-7281
Mailing address
1333 N SPLIT RAIL CT, DERBY, KS 67037-2846
(620) 481-1311
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
NULL
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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