person
Susane Erickson, LPC
Professional Counselor in Fairmont, West Virginia
NPI 1629067004

Susane Erickson is a Professional Counselor based in Morgantown, WV and is specialized in Professional. Susane Erickson practices in Fairmont, WV and has the professional credentials of LPC. The NPI Number for Susane Erickson is 1629067004 and holds a License No. 7654 (West Virginia).

The current practice location address for Susane Erickson is 448 Leonard Ave, Fairmont, WV and can be reached out via phone at 304-366-7174 and via fax at 304-366-7419. You can also correspond with Susane Erickson through the mailing address at 301 SCOTT AVE, MORGANTOWN, WV - 26508-8804 (mailing address contact number: 304-366-7174).

Location: 448 Leonard Ave, Fairmont, WV, 26508-8804
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Provider Profile Details
NPI Number
1629067004
Provider Name
Susane Erickson
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
448 Leonard Ave, Fairmont, WV, 26508-8804
Phone Number
304-366-7174
Fax Number
304-366-7419
Provider Enumeration Date
10/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z086G 01 FL BCBS
766307200 05 FL
institution
Provider Business Practice Location Address Details
Address
448 Leonard Ave
City
State
Zip
26554-3843
Phone Number
304-366-7174
Fax Number
304-366-7419
person
Provider Business Mailing Address Details
Address
448 Leonard Ave
City
State
Zip
26554-3843
Phone Number
304-366-7174
Fax Number
304-366-7419
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2000 (West Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
7654 (Florida)
Definition
Definition to come...
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