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Individual

ERICKA G JARVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., LCMHC

Contact information

Practice address
4412 PARK RD STE B, CHARLOTTE, NC 28209-3130
(631) 416-1319
Mailing address
4412 PARK RD STE B, CHARLOTTE, NC 28209-3130

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20501
NC
101YM0800X
Mental Health Counselor
Primary
A20501
NC
101YP2500X
Professional Counselor
12115
SC

Other

Enumeration date
04/03/2017
Last updated
06/05/2026
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