Individual
ERIK HAWKINS CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PCA
Contact information
Practice address
485 E MAIN ST STE 4, ASHLAND, OR 97520-2162
(541) 890-8100
Mailing address
279 GRANITE ST, ASHLAND, OR 97520-2746
(541) 772-1777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R9935
OR
Other
Enumeration date
08/31/2023
Last updated
12/17/2024
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