JERRY MARTIN ERICKSON

NORTH LITTLE ROCK, AR
NPI1821680505
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AR  A2009118)
Enumeration Date2021-02-04
Last Update Date2021-02-04
Business Address
Mr. JERRY MARTIN ERICKSON LAC
4702 W COMMERCIAL DR STE B3
NORTH LITTLE ROCK, AR 72116-7073
Phone number: 501-205-4570
Mailing Address
Mr. JERRY MARTIN ERICKSON LAC
29 ODOM RD
CONWAY, AR 72032-9031
Phone number: 910-286-2441
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