Individual provider · Type 1 NPI
Connie Dean Ericksten
Pastoral Counselor · Bentley, KS
NPI number
1093113128
Active
Practice location
111 S Devinshire Ave
Bentley, KS 67016-7625
Mailing address
PO Box 111
Bentley, KS 67016-0111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pastoral Counselor Primary | 101YP1600X | 14640 (FL) |
Pastoral Counselor: Definition to come...
About NPI 1093113128
Connie Dean Ericksten's National Provider Identifier is 1093113128, issued on Dec 5, 2014. The primary taxonomy on file is Pastoral Counselor (101YP1600X), and the practice location is in Bentley, KS. The record was last updated on Dec 5, 2014.