PHILIP DAVID ERICHSEN

FORT WAYNE, IN
NPI1144740986
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-06-22
Last Update Date2024-03-20
Business Address
Mr. PHILIP DAVID ERICHSEN MA
4150 ILLINOIS RD
FORT WAYNE, IN 46804-1208
Phone number: 877-594-9204
Mailing Address
Mr. PHILIP DAVID ERICHSEN MA
4150 ILLINOIS RD
FORT WAYNE, IN 46804-1208
Phone number: 877-594-9024