Individual
ERICA C CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
121 W ELBON RD, BROOKHAVEN, PA 19015-3224
(267) 530-0461
Mailing address
121 W ELBON RD, BROOKHAVEN, PA 19015-3224
(267) 530-0461
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC012198
PA
Other
Enumeration date
07/24/2017
Last updated
07/24/2023
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