Provider Demographics
NPI:1447893706
Name:NISONGER, ERIN (LMFT, NCC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:NISONGER
Suffix:
Gender:F
Credentials:LMFT, NCC
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 771916
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-1916
Mailing Address - Country:US
Mailing Address - Phone:907-302-5766
Mailing Address - Fax:
Practice Address - Street 1:13917 AKERS CIR
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-6737
Practice Address - Country:US
Practice Address - Phone:907-854-9036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-18
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist