Individual
KATHLEEN ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
499 JACKSON PIKE, GALLIPOLIS, OH 45631-1398
(740) 446-6471
Mailing address
1261 JACKSON PIKE APT 33, GALLIPOLIS, OH 45631-2615
(740) 208-8664
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0002145
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002145
—
OH
Enumeration date
07/02/2021
Last updated
07/02/2021
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