Provider Demographics
NPI:1679887160
Name:ERICKSON, KATHY RENEE (LMHC)
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:RENEE
Last Name:ERICKSON
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:RENEE
Other - Last Name:GALVIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:PO BOX 1114
Mailing Address - Street 2:
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-1114
Mailing Address - Country:US
Mailing Address - Phone:774-312-6678
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1114
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-1114
Practice Address - Country:US
Practice Address - Phone:774-312-6678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-27
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health