Healthcare Provider Details
I. General information
NPI: 1114211224
Provider Name (Legal Business Name): ERIKA ARRIZON ESQUIVEL LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/06/2011
Last Update Date: 03/19/2020
Certification Date: 03/19/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
31 TOWER ROAD
SAN MATEO CA
94402
US
IV. Provider business mailing address
1 DAVIS DRIVE
BELMONT CA
94002
US
V. Phone/Fax
- Phone: 650-312-5320
- Fax: 650-572-2414
- Phone: 650-817-5762
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | 96738 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: