Individual
BARBARA OLIVIA ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.L.P.
Contact information
Practice address
237 2ND AVE SW, CAMBRIDGE, MN 55008-1536
(651) 245-5217
Mailing address
18851 BAYSIDE LOOP, PINE CITY, MN 55063-5511
(651) 245-5217
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP2934
FM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41 29 713
MN TAXID NUMBER
MN
Enumeration date
04/02/2007
Last updated
07/08/2007
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