DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ERICA JACKNIN, MA, ATR-BC, LPAT

Active Sole Proprietor

Art Therapist · CORRALES, NM

Registration Details

NPI Number
1841690732
Provider Type
Individual
Gender
Female
NPI Issued
Aug 27, 2014 (11.652123063185 yrs)
Last Updated
Jan 3, 2019
License
CAT0201081 (NM)
Sole Proprietor
Yes

Practice Information

Address
100 SHERLOCK CT
CORRALES, NM, 87048
Browse NM providers · Browse ZIP 87048
Phone
3039295307
Primary Specialty
Art Therapist
221700000X
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.