MRS. Connie Dean Ericksten

NPI #1093113128 in Bentley, Kansas

Provider Information

NPI Number: 1093113128
Entity Type: Individual
Name: MRS. Connie Dean Ericksten
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Pastoral
Enumeration Date: Dec 5, 2014
Last Updated: Dec 5, 2014

Practice Location

Address: 111 S DEVINSHIRE AVE
City: Bentley
State: Kansas
ZIP Code: 67016-7625
Phone: (316) 796-0770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Pastoral — Pastoral	101YP1600X	Primary

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