Individual
MANDY ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
11616 S STATE ST STE 1505, DRAPER, UT 84020-7125
(385) 352-3206
Mailing address
4838 W PILLAR DR, RIVERTON, UT 84096-1428
(801) 678-4198
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7003045-6004
UT
101YM0800X
Mental Health Counselor
Primary
70030456009
UT
Other
Enumeration date
05/09/2014
Last updated
03/03/2026
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