Individual
KATHERINE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
105 BACON ST, PAWTUCKET, RI 02860-5542
(401) 727-7034
(401) 726-5580
Mailing address
105 BACON ST, PAWTUCKET, RI 02860-5542
(401) 727-7034
(401) 726-5580
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00279
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KE59539
—
RI
Enumeration date
10/11/2006
Last updated
07/08/2007
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