Provider Demographics
NPI:1720362239
Name:ESCHRICH, ERIN (MS, TLPC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:ESCHRICH
Suffix:
Gender:F
Credentials:MS, TLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10532 N PORT WASHINGTON RD
Mailing Address - Street 2:STE 1B
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-5563
Mailing Address - Country:US
Mailing Address - Phone:262-242-3810
Mailing Address - Fax:262-242-3816
Practice Address - Street 1:10532 N PORT WASHINGTON RD
Practice Address - Street 2:STE 1B
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-5563
Practice Address - Country:US
Practice Address - Phone:262-242-3810
Practice Address - Fax:262-242-3816
Is Sole Proprietor?:No
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1017-226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional