Individual
JORDAN ERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 E UNIVERSITY DR, MESA, AZ 85203-8169
(480) 969-6955
Mailing address
868 E UNIVERSITY DR, MESA, AZ 85203-8033
(480) 969-4024
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LAMFT 10250
AZ
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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