Healthcare Provider Details

I. General information

NPI: 1326410242
Provider Name (Legal Business Name): ERIN SNOW MFTI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2015
Last Update Date: 10/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43585 MONTEREY AVE STE 8
PALM DESERT CA
92260-9342
US

IV. Provider business mailing address

74088 DAISY LN
PALM DESERT CA
92211-2069
US

V. Phone/Fax

Practice location:
  • Phone: 760-777-7720
  • Fax:
Mailing address:
  • Phone: 951-415-3461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: