Mrs. Connie Dean Ericksten
Pastoral Counselor
111 S Devinshire Ave
Bentley
, Kansas 67016-7625
Mrs. Connie Dean Ericksten
Pastoral Counselor
111 S Devinshire Ave
Bentley
, Kansas 67016-7625
(316) 796-0770
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About
Features
Specialties
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Mrs. Connie Dean Ericksten
- Po Box 111
- Bentley, KS
- Zip : 67016-0111
- Phone : (316) 796-0770
Second Address
- Mrs. Connie Dean Ericksten
- 111 S Devinshire Ave
- Bentley, KS
- Zip : 67016-7625
- Phone : (316) 796-0770
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP1600X | Pastoral Counselor | 14640 | FL |
National Provider Identifier
| NPI | 1093113128 |
|---|---|
| Provider Name | Mrs. Connie Dean Ericksten |
| First Address | Bentley, KS 67016-0111 |
| Second Address | Bentley, KS 67016-7625 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/12/2014 |
| Last Update Date | 05/12/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.