Derek Erickson, LADC

NPI 1679044184 · on the registry since 2018 · sole proprietor

Practice

Address: 3720 23rd Ave S
Minneapolis, MN 55407
Phone: (612) 272-6978
Organisation at this address: The Providence Place
Relentless Recovery Llc
Senior Care Providence, Llc
Covenire Care Nokomis, Llc - Dba The Waters Of Minnehaha
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota