Provider Demographics
NPI:1750538534
Name:ERICKSON, STEVEN ELLIOT I (MED LMHC)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:ELLIOT
Last Name:ERICKSON
Suffix:I
Gender:M
Credentials:MED LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 W RIVERSIDE AVE
Mailing Address - Street 2:SUITE 610
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-1016
Mailing Address - Country:US
Mailing Address - Phone:509-742-3460
Mailing Address - Fax:509-742-3461
Practice Address - Street 1:905 W RIVERSIDE AVE
Practice Address - Street 2:SUITE 610
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-1016
Practice Address - Country:US
Practice Address - Phone:509-742-3460
Practice Address - Fax:509-742-3461
Is Sole Proprietor?:No
Enumeration Date:2008-08-22
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00010891101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health