Provider Demographics
NPI:1063660157
Name:MCHAM, ERIN (LPCC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:MCHAM
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 1:136 NORTHWOODS BLVD
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-4728
Mailing Address - Country:US
Mailing Address - Phone:614-436-6057
Mailing Address - Fax:
Practice Address - Street 1:136 NORTHWOODS BLVD
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-4728
Practice Address - Country:US
Practice Address - Phone:614-436-6057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE. 0004398101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health