Erickson, Jessica Leigh

Erickson, Jessica Leigh is an individual health care provider with primary practice located at 147 Cooper Ln E , Cody WY 82414-9233. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Erickson, Jessica Leigh can be contacted via phone (307) 250-7522.

Contact Information

Primary practice address
147 Cooper Ln E Cody WY 82414-9233
Phone: (307) 250-7522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-1145 Wyoming
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-1145 Wyoming
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC-1145 Wyoming

Profile Details

NPI number 1689853491
LBN Legal business name Erickson, Jessica Leigh
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2007
Last updated Dec 13th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689853491 NPPES
Wyoming MEDICAID 131309601

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