Individual
ERICA JACKNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATR-BC, LPAT
Contact information
Practice address
100 SHERLOCK CT, CORRALES, NM 87048
(303) 929-5307
Mailing address
100 SHERLOCK CT, CORRALES, NM 87048-6915
(303) 929-5307
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
CAT0201081
NM
Other
Enumeration date
08/27/2014
Last updated
01/03/2019
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