Individual
SAMUEL LINCOLN ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCA
Contact information
Practice address
300 E MAIN ST STE 310, LEXINGTON, KY 40507-1538
(859) 608-3917
Mailing address
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511-1277
(859) 253-1686
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
260216
KY
101YM0800X
Mental Health Counselor
Primary
295190
KY
Other
Enumeration date
01/27/2022
Last updated
01/07/2025
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