Provider Demographics
NPI:1346641123
Name:BECKLUND-ERICKSON, SAGE
Entity type:Individual
Prefix:
First Name:SAGE
Middle Name:
Last Name:BECKLUND-ERICKSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SAGE
Other - Middle Name:
Other - Last Name:BECKLUND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23063 CROSS POINT RD
Mailing Address - Street 2:
Mailing Address - City:PELICAN RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:56572-7736
Mailing Address - Country:US
Mailing Address - Phone:218-770-8020
Mailing Address - Fax:
Practice Address - Street 1:980 S TOWER RD
Practice Address - Street 2:
Practice Address - City:FERGUS FALLS
Practice Address - State:MN
Practice Address - Zip Code:56537-5505
Practice Address - Country:US
Practice Address - Phone:218-736-6987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-11
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health