Healthcare Provider Details

I. General information

NPI: 1437613619
Provider Name (Legal Business Name): ERIA MARINA ALCOCER LMFT157128
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2019
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 FOURTH STREET
DAVIS CA
95616-9998
US

IV. Provider business mailing address

510 FOURTH STREET
DAVIS CA
95616-9998
US

V. Phone/Fax

Practice location:
  • Phone: 916-572-4203
  • Fax: 916-429-7824
Mailing address:
  • Phone: 916-572-4203
  • Fax: 916-429-7824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT157128
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: