Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 101YS0200X | School Counselor | ||
N | 104100000X | Social Worker | 6801085715 | MI |
Y | 1041C0700X | Clinical Social Worker |
NPI | 1023222023 |
---|---|
Provider Name | Erin Christina Egan |
First Address | Ann Arbor, MI 48104-2921 |
Second Address | Ann Arbor, MI 48104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 25/03/2021 |