Individual
NICOLLETTE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC, LADC
Contact information
Practice address
2277 HIGHWAY 36 W, SUITE 310, ROSEVILLE, MN 55113-3804
(612) 819-0378
Mailing address
2451 CAVELL AVE S, ST LOUIS PARK, MN 55426-2317
(612) 819-0378
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
302862
MN
101YP2500X
Professional Counselor
Primary
778
MN
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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