Organization
RANDI L. ERICKSON
Active
Other names
Croix Counseling & Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDI L ERICKSON PSY D LP (OWNER)
(715) 377-0000
Entity
Organization
Contact information
Practice address
2910 ENLOE ST, SUITE 104, HUDSON, WI 54016-4538
(715) 377-0000
(715) 377-0010
Mailing address
2910 ENLOE ST, SUITE 104, HUDSON, WI 54016-4538
(715) 377-0000
(715) 377-0010
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689778748
INDIVIDUAL NPI NUMBER
WI
05
—
1689778748
—
MN
05
—
39147000
—
WI
Enumeration date
08/22/2006
Last updated
07/10/2008
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