Provider Demographics
NPI:1871157206
Name:RASPBERRY, ERICA MONIQUE (LPC)
Entity type:Individual
Prefix:MS
First Name:ERICA
Middle Name:MONIQUE
Last Name:RASPBERRY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:ERICA
Other - Middle Name:
Other - Last Name:RASPBERRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:303 GLADSTONE DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-2754
Mailing Address - Country:US
Mailing Address - Phone:919-423-8334
Mailing Address - Fax:
Practice Address - Street 1:6015 FAYETTEVILLE RD STE 114
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6254
Practice Address - Country:US
Practice Address - Phone:919-957-7357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-01
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9873101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor