Provider Demographics
NPI:1144602236
Name:BRIOLA, ERICA LEE (MS)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:LEE
Last Name:BRIOLA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:LEE
Other - Last Name:SWANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:103 DENSBURY CT
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-9791
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:103 DENSBURY CT
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-9791
Practice Address - Country:US
Practice Address - Phone:262-510-7440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-24
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10680101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor