JACOB ERICKSON

SAINT LOUIS, MO
NPI1942673181
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-11-10
Last Update Date2015-11-10
Business Address
-- JACOB ERICKSON MT-BC
4220 N GRAND BLVD
SAINT LOUIS, MO 63107-1831
Phone number: 314-534-6624
Mailing Address
-- JACOB ERICKSON MT-BC
4220 N GRAND BLVD
SAINT LOUIS, MO 63107-1831
Phone number:
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