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Individual

MRS. ERICA REGINA GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2204 PACIFIC AVE N, LONG BEACH, WA 98631-3300
(360) 642-3787
(360) 642-2096
Mailing address
2204 PACIFIC AVE N, LONG BEACH, WA 98631-3300
(360) 642-3787
(360) 642-2096

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG 60710317
WA
101YM0800X
Mental Health Counselor
LPC007543
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003144054A
GA
Enumeration date
11/22/2013
Last updated
04/27/2017
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