Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY ERICKSON, MAMFTC
Active Sole ProprietorProfessional Counselor · SOUTHAVEN, MS
Registration Details
- NPI Number
- 1396225504
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2018 (7.6919234912291 yrs)
- Last Updated
- Apr 3, 2024
- Licenses
-
2608 (MS)A1708258 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
232 GOODMAN RD W STE 305SOUTHAVEN, MS, 386718004Browse MS providers · Browse ZIP 38671
- Phone
- 6628569563
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in SOUTHAVEN, MS
| Name | Credential | NPI |
|---|---|---|
| MRS. ELIZABETH LINEBARGER STOREY | LPC | 1437114980 |
| MELISSA M SISCO | LPC | 1700830122 |
| MAE C YOUNG | ED.S. | 1598865339 |
| DR. MARILYN S SNOW | PH.D. ,LPC | 1003917535 |
| MISS JESSICA IRENE STOCKMAN | LPC | 1982795290 |
| MATTISON LANIER ELLIS | LPC | 1851461917 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.