Individual
LISA M ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2308 SW 10TH ST, LEES SUMMIT, MO 64081-3749
(816) 500-2774
(816) 525-2146
Mailing address
2308 SW 10TH ST, LEES SUMMIT, MO 64081-3749
(816) 500-2774
(816) 525-2146
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2008036829
MO
101YM0800X
Mental Health Counselor
5733
KS
Other
Enumeration date
03/22/2009
Last updated
03/22/2009
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