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Kathleen Erickson
Peer Specialist in Gallipolis, Ohio
NPI 1649841479

Kathleen Erickson is a Peer Specialist based in Gallipolis, OH. Kathleen Erickson practices in Gallipolis, OH. The NPI Number for Kathleen Erickson is 1649841479 and holds a License No. 0002145 (Ohio).

The current practice location address for Kathleen Erickson is 499 Jackson Pike, Gallipolis, OH and can be reached out via phone at 740-446-6471.

Location: 499 Jackson Pike, Gallipolis, OH, 45631-2615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649841479
Provider Name
Kathleen Erickson
Credential
Provider Entity Type
Individual
Gender
Female
Address
499 Jackson Pike, Gallipolis, OH, 45631-2615
Phone Number
740-446-6471
Fax Number
Provider Enumeration Date
07/02/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0002145 05 OH
institution
Provider Business Practice Location Address Details
Address
499 Jackson Pike
City
Gallipolis
State
Ohio
Zip
45631-1398
Phone Number
740-446-6471
Fax Number
person
Provider Business Mailing Address Details
Address
499 Jackson Pike
City
Gallipolis
State
Ohio
Zip
45631-1398
Phone Number
740-446-6471
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
0002145 (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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