Individual
ERIN MARIE VAN IDERSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NBCC, LPC
Contact information
Practice address
1330 W 26TH ST, ERIE, PA 16508-1402
(814) 459-9300
(814) 454-7780
Mailing address
1330 W 26TH ST, ERIE, PA 16508-1402
(814) 440-8893
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC005256
PA
Other
Enumeration date
02/22/2010
Last updated
02/22/2024
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