Organization
JOSIAH ERICKSON COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSIAH ERICKSON CSWA (MANAGER)
(612) 227-3419
Entity
Organization
Contact information
Practice address
5441 S MACADAM AVE STE 4137, PORTLAND, OR 97239-6106
(612) 227-3419
Mailing address
5441 S MACADAM AVE STE 4137, PORTLAND, OR 97239-6106
(612) 227-3419
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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