MEDICARE: MS. ERIN CHRISTINE SCHLICHTING

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
1	106H00000X	Marriage & Family Therapist	62446	CA

General Provider Information

NPI Number	:	1811217698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ERIN CHRISTINE SCHLICHTING

Provider Business Mailing Address
First Line	:	934 TREHOWELL DR
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95678-6128
Country	:	US
Telephone Number	:	916-508-1720
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 RIVERSIDE AVE
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95678-3124
Country	:	US
Telephone Number	:	916-508-1720
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2010
Last Update Date	:	06/03/2010

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