Individual
ELIZABETH ABBS ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 HUNTERS TRL, PORTAGE, WI 53901-3403
(608) 742-5518
(608) 742-4087
Mailing address
W10136 DAKOTA AVE, WAUTOMA, WI 54982-8231
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
973-226
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17042-130
WI
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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