Provider Demographics
NPI:1164865366
Name:ERICKSON, LORA LEE (LPC)
Entity type:Individual
Prefix:DR
First Name:LORA
Middle Name:LEE
Last Name:ERICKSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5296 E 130TH CIR
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80241-1564
Mailing Address - Country:US
Mailing Address - Phone:217-891-7280
Mailing Address - Fax:
Practice Address - Street 1:5296 E 130TH CIR
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80241-1564
Practice Address - Country:US
Practice Address - Phone:217-891-7280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16629101YM0800X
COLPC.0017201101YP2500X
IL180008747101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health