MEDICARE: VICTORIA ADAMS-ERICKSON 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	LPC.0019669	CO

General Provider Information

NPI Number	:	1235886565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA ADAMS-ERICKSON LPC

Provider Business Mailing Address
First Line	:	919 N WEBER ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-2976
Country	:	US
Telephone Number	:	720-583-5374
Fax Number	:

Provider Business Practice Location Address
First Line	:	3609 AUSTIN BLUFFS PKWY STE 31
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-6658
Country	:	US
Telephone Number	:	720-583-5374
Fax Number	:

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

Provider Enumeration Date	:	03/07/2022
Last Update Date	:	08/07/2023

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