Healthcare Provider Details

I. General information

NPI: 1225802218
Provider Name (Legal Business Name): ERIKA ESQUIVEL MARQUEZ LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERIKA MARTINEZ ESQUIVEL

II. Dates (important events)

Enumeration Date: 11/09/2023
Last Update Date: 11/09/2023
Certification Date: 11/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2071 PINE CREST DR
CORONA CA
92882-3710
US

IV. Provider business mailing address

500 W GRAHAM AVE PO BOX 1003
LAKE ELSINORE CA
92530-3610
US

V. Phone/Fax

Practice location:
  • Phone: 949-371-5921
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number139019
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: