Individual
JESSICA ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 BROADWAY, HANNIBAL, MO 63401-4005
(573) 211-2111
(573) 211-2123
Mailing address
1221 BROADWAY, HANNIBAL, MO 63401-4005
(573) 221-2111
(573) 211-2123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2019005725
MO
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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