Individual provider · Type 1 NPI

Jeremy Erickson, MAMFTC

Professional Counselor · Southaven, MS

NPI number 1396225504 Active

Practice location

232 Goodman Rd W Ste 305
Southaven, MS 38671-8004

Call (662) 856-9563 Map

Other practice locations

  • 120 Meghan Ln, Judsonia, AR 72081-9302 · (501) 729-1730
  • 5740 Getwell Rd Ste D, Southaven, MS 38672-6346 · (601) 790-0583

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2608 (MS)
Professional Counselor 101YP2500XA1708258 (AR)

Professional Counselor: Definition to come...

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About NPI 1396225504

Jeremy Erickson, MAMFTC's National Provider Identifier is 1396225504, issued on Aug 16, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Southaven, MS. The record was last updated on Apr 3, 2024.