Individual provider · Type 1 NPI

Jacob Erickson, MT-BC

Mental Health Counselor · St. Louis, MO

NPI number 1942673181 Active

Practice location

4220 N Grand Blvd
St. Louis, MO 63107-1831

Call (314) 534-6624 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1942673181

Jacob Erickson, MT-BC's National Provider Identifier is 1942673181, issued on Nov 10, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Louis, MO. The record was last updated on Nov 10, 2015.