Provider Demographics
NPI:1952175663
Name:SHURE, ERICA (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:SHURE
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6108 HABITAT DR APT 2
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-5524
Mailing Address - Country:US
Mailing Address - Phone:212-920-5278
Mailing Address - Fax:
Practice Address - Street 1:6108 HABITAT DR APT 2
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-5524
Practice Address - Country:US
Practice Address - Phone:212-920-5278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0020752101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health