Individual
TONJA ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C
Contact information
Practice address
109 N 4TH ST, HAMILTON, MT 59840-2401
(406) 369-5268
Mailing address
PO BOX 692, CORVALLIS, MT 59828-0692
(406) 369-5268
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1499
MT
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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