Healthcare Provider Details

I. General information

NPI: 1932811015
Provider Name (Legal Business Name): ERICKA BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2022
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 YUBA ST
REDDING CA
96001-1010
US

IV. Provider business mailing address

1411 YUBA ST
REDDING CA
96001-1010
US

V. Phone/Fax

Practice location:
  • Phone: 530-225-3726
  • Fax:
Mailing address:
  • Phone: 530-225-3726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number136792
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: