Individual
HANS ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1406 W LAKE ST, MINNEAPOLIS, MN 55408-2653
(612) 200-3426
Mailing address
4535 BLAISDELL AVE, MINNEAPOLIS, MN 55419-5030
(718) 753-9301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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