Individual
KAYLA ANTHONY ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
102 THORNGATE DR, BRANDON, MS 39042-4202
(601) 540-0886
Mailing address
102 THORNGATE DR, BRANDON, MS 39042-4202
(601) 540-0886
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1569
MS
Other
Enumeration date
06/13/2022
Last updated
07/25/2022
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