Organization
JEANNE ERIKSON COUNSELING AND COACHING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE ERIKSON PH.D. LSCSW (OWNER/PROVIDER)
(316) 776-8917
Entity
Organization
Contact information
Practice address
200 W DOUGLAS AVE STE 555, WICHITA, KS 67202-3007
(316) 776-2317
(833) 377-0520
Mailing address
200 W DOUGLAS AVE STE 555, WICHITA, KS 67202-3007
(316) 776-2317
(833) 377-0520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0044759
—
KS
01
—
1633
LICENSED SPECIALIST CLINICAL SOCIAL WORKER
KS
01
—
536-103-5
LLC ID NUMBER
KS
Enumeration date
06/08/2020
Last updated
06/18/2020
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