MEDICARE: ERIC SLISHER 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	101Y00000X	Counselor	6401018920	MI
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1417377185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC SLISHER LPC

Provider Business Mailing Address
First Line	:	1729 S DEARING RD
Second Line	:
City	:	PARMA
State	:	MI
Zip	:	49269-9405
Country	:	US
Telephone Number	:	313-883-9031
Fax Number	:

Provider Business Practice Location Address
First Line	:	2652 SPRING ARBOR RD
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49203-3604
Country	:	US
Telephone Number	:	313-883-9031
Fax Number	:

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

Provider Enumeration Date	:	04/22/2014
Last Update Date	:	02/20/2025

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