Individual
ERICA MICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
83 PASSAIC ST APT 4, PASSAIC, NJ 07055-8347
(862) 221-8118
Mailing address
83 PASSAIC ST APT 4, PASSAIC, NJ 07055-8347
(862) 221-8118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00823300
NJ
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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