Individual
SHONNA LARAINE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT, LADC
Contact information
Practice address
2780 S JONES BLVD STE I, LAS VEGAS, NV 89146-5625
(702) 220-7386
Mailing address
9109 DIAMOND LAKE AVE, LAS VEGAS, NV 89129-7064
(702) 804-1194
(702) 220-7012
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0650
NV
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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