Griffin, Erica Regina

Griffin, Erica Regina is an individual health care provider with primary practice located at 2204 Pacific Ave N , Long Beach WA 98631-3300. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Griffin, Erica Regina can be contacted via phone (360) 642-3787.

Contact Information

Primary practice address
2204 Pacific Ave N Long Beach WA 98631-3300
Phone: (360) 642-3787
Fax: (360) 642-2096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC007543 Georgia
Behavioral Health & Social Service Providers / Counselor 101Y00000X CG 60710317 Washington

Profile Details

NPI number 1619307915
LBN Legal business name Griffin, Erica Regina
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2013
Last updated Apr 27th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619307915 NPPES
Georgia MEDICAID 003144054A

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