Individual provider · Type 1 NPI

Ericka Tidmore Travers, LCPC-C, LADC, CCS

Mental Health Counselor · Belfast, ME

NPI number 1124663695 Active

Practice location

26 Spring St
Belfast, ME 04915-6817

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLC7487 (ME)
Mental Health Counselor Primary 101YM0800XXL6874 (ME)

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About NPI 1124663695

Ericka Tidmore Travers, LCPC-C, LADC, CCS's National Provider Identifier is 1124663695, issued on Nov 8, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Belfast, ME. The record was last updated on Oct 12, 2023.