Provider Demographics
NPI:1669751962
Name:GRAHN, ERIN MARIE (LPCC, LMAC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MARIE
Last Name:GRAHN
Suffix:
Gender:F
Credentials:LPCC, LMAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 W BEATON DR STE 103
Mailing Address - Street 2:
Mailing Address - City:WEST FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58078-2653
Mailing Address - Country:US
Mailing Address - Phone:701-730-8313
Mailing Address - Fax:701-552-7975
Practice Address - Street 1:102 W BEATON DR STE 103
Practice Address - Street 2:
Practice Address - City:WEST FARGO
Practice Address - State:ND
Practice Address - Zip Code:58078-2653
Practice Address - Country:US
Practice Address - Phone:701-730-8313
Practice Address - Fax:701-552-7975
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-04
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1650101YA0400X
ND699-10-1-11-238101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health