Provider Demographics
NPI:1689417859
Name:ERICKSON, KAREN SUE (LPCC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:SUE
Last Name:ERICKSON
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 ENCANTO CT
Mailing Address - Street 2:
Mailing Address - City:PASO ROBLES
Mailing Address - State:CA
Mailing Address - Zip Code:93446-1845
Mailing Address - Country:US
Mailing Address - Phone:805-503-3400
Mailing Address - Fax:
Practice Address - Street 1:3860 W NAUGHTON AVE
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-1260
Practice Address - Country:US
Practice Address - Phone:650-999-0220
Practice Address - Fax:855-999-0220
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-17
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC16676101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health