MS. ERIN CHRISTIAN DETRICK B.A. - NPI 1841518875

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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About Ms. Erin Christian Detrick B.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ERIN CHRISTIAN DETRICK B.A. (NPI 1841518875) is an individual mental health provider in Toledo, Oregon, licensed in Oregon (0106) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1841518875

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. ERIN CHRISTIAN DETRICKCredential: B.A.

Location Address805 NE RESERVOIR LNToledo, OR 97391-1335

Mailing Address805 Ne Reservoir LnToledo, OR 97391-1335 · (541) 336-2254 · Fax (541) 336-1803

Phone(541) 336-2254

Fax(541) 336-1803

Sole ProprietorNo

Enumeration DateMay 14, 2010

✔ NPI 1841518875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OR · 0106

805 NE RESERVOIR LN, Toledo, OR 97391

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Other Identifiers 1

Medicaid1013952829OR

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ZANN MARIE JOHNSON QMHA

Contractor