Healthcare Provider Details
I. General information
NPI: 1861192254
Provider Name (Legal Business Name): ERIN KATHLEEN SICILIANO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/06/2023
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13 LAWRENCE DR
NEPTUNE CITY NJ
07753-6002
US
IV. Provider business mailing address
312 HULSE AVE
BRICK NJ
08724-1516
US
V. Phone/Fax
- Phone: 173-223-2843
- Fax:
- Phone: 732-232-8436
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 37PC00926900 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: