MEDICARE: ERICKA FERRIAS LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	72940	TX

General Provider Information

NPI Number	:	1215485776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICKA FERRIAS LPC

Provider Business Mailing Address
First Line	:	12903 SUGAR RIDGE BLVD APT 2203
Second Line	:
City	:	STAFFORD
State	:	TX
Zip	:	77477-3131
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12903 SUGAR RIDGE BLVD APT 2203
Second Line	:
City	:	STAFFORD
State	:	TX
Zip	:	77477-3131
Country	:	US
Telephone Number	:	832-464-8182
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2016
Last Update Date	:	09/13/2016

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