Provider Demographics
NPI:1336832146
Name:ERLUND, CECILIA WHARTON (EDD LPC)
Entity Type:Individual
Prefix:
First Name:CECILIA
Middle Name:WHARTON
Last Name:ERLUND
Suffix:
Gender:F
Credentials:EDD LPC
Other - Prefix:DR
Other - First Name:CECILIA
Other - Middle Name:WHARTON
Other - Last Name:ERLUND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EDD LPC
Mailing Address - Street 1:PO BOX 310
Mailing Address - Street 2:
Mailing Address - City:MOODY
Mailing Address - State:TX
Mailing Address - Zip Code:76557-0310
Mailing Address - Country:US
Mailing Address - Phone:254-624-7889
Mailing Address - Fax:
Practice Address - Street 1:13133 FM 2601 #300
Practice Address - Street 2:
Practice Address - City:MOODY
Practice Address - State:TX
Practice Address - Zip Code:76557
Practice Address - Country:US
Practice Address - Phone:254-624-7889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8574101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health