Provider Demographics
NPI:1447667290
Name:MARDEN, ERIN ABIGAIL (MS, CRC, ADC, LPC)
Entity type:Individual
Prefix:
First Name:ERIN ABIGAIL
Middle Name:
Last Name:MARDEN
Suffix:
Gender:F
Credentials:MS, CRC, ADC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 620612
Mailing Address - Street 2:
Mailing Address - City:FORT RUCKER
Mailing Address - State:AL
Mailing Address - Zip Code:36362-0612
Mailing Address - Country:US
Mailing Address - Phone:334-464-0982
Mailing Address - Fax:
Practice Address - Street 1:141 ROSEMOUNT CT
Practice Address - Street 2:
Practice Address - City:ENTERPRISE
Practice Address - State:AL
Practice Address - Zip Code:36330-2384
Practice Address - Country:US
Practice Address - Phone:334-464-0982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-14
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL101YA0400X
AL3555101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)