Individual
DEBRA KAY ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1300 S LOCUST ST STE F, GRAND ISLAND, NE 68801-8200
(308) 398-0350
(308) 398-0351
Mailing address
1300 S LOCUST ST STE F, GRAND ISLAND, NE 68801-8200
(308) 398-0350
(308) 398-0351
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
493
NE
101YM0800X
Mental Health Counselor
Primary
2352
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
353262000
MAGELLAN
NE
01
—
84017
BCBS
NE
Enumeration date
04/24/2007
Last updated
05/03/2011
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