Individual
ERICKA TIDMORE TRAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C, LADC, CCS
Contact information
Practice address
26 SPRING ST, BELFAST, ME 04915-6817
(207) 561-7269
Mailing address
26 SPRING ST, BELFAST, ME 04915-6817
(207) 561-7269
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC7487
ME
101YM0800X
Mental Health Counselor
Primary
XL6874
ME
Other
Enumeration date
11/08/2019
Last updated
10/12/2023
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