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NPI Code Detail

MEDICARE: ERIN SOUDERS AMFT, APCC

MEDICARE:   ERIN  SOUDERS  AMFT, APCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2171M00000XCase Manager/Care CoordinatorCA
3101YA0400XAddiction (Substance Use Disorder) Counselor
4101YM0800XMental Health CounselorCA
5106H00000XMarriage & Family Therapist161758CA

General Provider Information

NPI Number : 1568050334
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN SOUDERS AMFT, APCC
Provider Business Mailing Address
First Line : 120 TOWHEE DR
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-9789
Country : US
Telephone Number : 831-440-6215
Fax Number :
Provider Business Practice Location Address
First Line : 380 ENCINAL ST
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-2178
Country : US
Telephone Number : 831-400-8492
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2021
Last Update Date : 03/10/2026

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Directions to “ ERIN SOUDERS AMFT, APCC” Practice Location

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