Individual
BONNIE J. ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LMHC
Contact information
Practice address
4602 CEMETERY ROAD, TANGERINE, FL 32777-0007
(352) 408-8626
Mailing address
4602 CEMETERY RD., TANGERINE, FL 32777-0007
(352) 408-8626
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 7624
FL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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