Individual
MR. STEVEN ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
152 SYLVAN ST, DANVERS, MA 01923-3558
(978) 774-6820
Mailing address
152 SYLVAN ST, DANVERS, MA 01923-3558
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110024365B
—
MA
Enumeration date
07/27/2012
Last updated
07/27/2012
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