NPI 1841690732

Erica Jacknin, MAATRBCLPAT

Practitioner Art Therapist Corrales, NM

Practice location

Address: 100 Sherlock CT, Corrales, NM 87048
Phone: (303) 929-5307
Mailing address: 100 Sherlock CT, Corrales, NM 87048-6915

Registered specialties

Art Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 221700000X Licence CAT0201081 (NM)

Other Art Therapist providers in New Mexico →

Registry record

NPI: 1841690732
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Aug 2014
Record last updated: 3 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.