Provider Demographics
NPI:1306266382
Name:HAASE, ERIN GRACE (LPC)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:GRACE
Last Name:HAASE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22802-5403
Mailing Address - Country:US
Mailing Address - Phone:540-746-0345
Mailing Address - Fax:
Practice Address - Street 1:1000 CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22802-5403
Practice Address - Country:US
Practice Address - Phone:540-746-0345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-17
Last Update Date:2024-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005716101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional