Provider Demographics
NPI:1134455843
Name:WICK, ERIN (MA, LPC, CAS)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:WICK
Suffix:
Gender:F
Credentials:MA, LPC, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13606 XAVIER LN STE E
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80023-3604
Mailing Address - Country:US
Mailing Address - Phone:303-588-2087
Mailing Address - Fax:303-632-2687
Practice Address - Street 1:13606 XAVIER LN STE E
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80023-3604
Practice Address - Country:US
Practice Address - Phone:303-588-2087
Practice Address - Fax:303-632-2687
Is Sole Proprietor?:No
Enumeration Date:2009-10-30
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6326101YA0400X
CO3686101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)