Individual
CHARLIE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDC
Contact information
Practice address
444 NORTHMONT WAY, SALT LAKE CITY, UT 84103-3321
(801) 413-3727
Mailing address
444 NORTHMONT WAY, SALT LAKE CITY, UT 84103-3321
(801) 413-3727
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/20/2024
Last updated
08/26/2025
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