Petree, Erica

Petree, Erica is an sole proprietor health care provider with primary practice located at 207 N Boone St Ste 102 , Johnson City TN 37604-5675. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Petree, Erica can be contacted via phone (619) 839-9730.

Contact Information

Primary practice address
207 N Boone St Ste 102 Johnson City TN 37604-5675
Phone: (619) 839-9730
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 60460 California
Behavioral Health & Social Service Providers / Social Worker 104100000X 41439 Texas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7666 Tennessee

Profile Details

NPI number 1275506255
LBN Legal business name Petree, Erica
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2006
Last updated Feb 20th, 2024 - about 9 months 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 1275506255 NPPES
Texas MEDICAID 091740301

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