Individual
MARISA ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11070 183RD CIR NW STE C, ELK RIVER, MN 55330-3701
(763) 633-5111
Mailing address
11070 183RD CIR NW STE C, ELK RIVER, MN 55330-3701
(763) 633-5111
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC04197
MN
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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