Individual
JENNIFER ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10712 PROVIDENCE PARK DR, ASHLAND, VA 23005-7488
(804) 690-2537
Mailing address
10712 PROVIDENCE PARK DR, ASHLAND, VA 23005-7488
(804) 690-2537
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701007469
VA
101YM0800X
Mental Health Counselor
12884764-6004
UT
101YP2500X
Professional Counselor
0701007469
VA
101YP2500X
Professional Counselor
Primary
2671367
ID
Other
Enumeration date
05/06/2016
Last updated
03/26/2026
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