Provider Demographics
NPI:1356613202
Name:ERSKINE, JUANITA KAYE (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:JUANITA
Middle Name:KAYE
Last Name:ERSKINE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:JUANITA
Other - Middle Name:KAYE
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:136 WEST 21ST AVE.
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:WY
Mailing Address - Zip Code:82240
Mailing Address - Country:US
Mailing Address - Phone:307-532-2119
Mailing Address - Fax:307-532-3117
Practice Address - Street 1:136 WEST 21ST AVE.
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:WY
Practice Address - Zip Code:82240
Practice Address - Country:US
Practice Address - Phone:307-532-2119
Practice Address - Fax:307-532-3117
Is Sole Proprietor?:No
Enumeration Date:2012-02-07
Last Update Date:2012-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLPC1202101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional