Brent Erickson, MS, SAC

NPI #1295836567 in Portage, Wisconsin

Provider Information

NPI Number: 1295836567
Entity Type: Individual
Name: Brent Erickson, MS, SAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: MS, SAC
Enumeration Date: Sep 26, 2006
Last Updated: May 21, 2015

Practice Location

Address: 2901 HUNTERS TRL
City: Portage
State: Wisconsin
ZIP Code: 53901-3403
Phone: (608) 742-5518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker - Clinical — Clinical	1041C0700X
Social Worker	104100000X	Primary

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