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Jessica Rose Erickson
Professional Counselor in Fort Worth, Texas
NPI 1275061152

Jessica Rose Erickson is a Professional Counselor based in Fort Worth, TX and is specialized in Professional. Jessica Rose Erickson practices in Fort Worth, TX. The NPI Number for Jessica Rose Erickson is 1275061152 and holds a License No. 74195 (Texas).

The current practice location address for Jessica Rose Erickson is 8101 Boat Club Rd Ste 305, Fort Worth, TX and can be reached out via phone at 817-203-4479.

Location: 8101 Boat Club Rd Ste 305, Fort Worth, TX, 76179-3630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275061152
Provider Name
Jessica Rose Erickson
Credential
Provider Entity Type
Individual
Gender
Female
Address
8101 Boat Club Rd Ste 305, Fort Worth, TX, 76179-3630
Phone Number
817-203-4479
Fax Number
Provider Enumeration Date
05/23/2017
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
371408103 05 TX
institution
Provider Business Practice Location Address Details
Address
8101 Boat Club Rd Ste 305
City
Fort Worth
State
Texas
Zip
76179-3635
Phone Number
817-203-4479
Fax Number
person
Provider Business Mailing Address Details
Address
8101 Boat Club Rd Ste 305
City
Fort Worth
State
Texas
Zip
76179-3635
Phone Number
817-203-4479
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
74195 (Texas)
Definition
Definition to come...
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