Individual
MARK WILLIAM ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LIMHP, LCPC
Contact information
Practice address
11422 MIRACLE HILLS DR STE 401, OMAHA, NE 68154-4420
(402) 898-1113
Mailing address
10101 W 136TH PL APT 2309, OVERLAND PARK, KS 66221-7829
(608) 658-4979
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
03070
KS
101YM0800X
Mental Health Counselor
11855
NE
101YM0800X
Mental Health Counselor
2662
NE
101YM0800X
Mental Health Counselor
Primary
2676
NE
101YM0800X
Mental Health Counselor
5584
NE
Other
Enumeration date
05/28/2019
Last updated
10/20/2021
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