DEREK JOHN ERICKSON

MINNEAPOLIS, MN
NPI1679044184
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  305050)
Enumeration Date2018-12-09
Last Update Date2024-06-06
Business Address
DEREK JOHN ERICKSON LADC
3720 23RD AVE S
MINNEAPOLIS, MN 55407-3010
Phone number: 612-272-6978
Mailing Address
DEREK JOHN ERICKSON LADC
305 9TH ST
WINDOM, MN 56101-1658
Phone number: 507-832-8033
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