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NPI Code Detail

MEDICARE: ELIZABETH ANN ERICKSON LMFT

MEDICARE: ELIZABETH ANN ERICKSON LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCS 22335CA

General Provider Information

NPI Number : 1669774980
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANN ERICKSON LMFT
Provider Business Mailing Address
First Line : 39755 MURRIETA HOT SPRINGS RD STE D160
Second Line :
City : MURRIETA
State : CA
Zip : 92563-9113
Country : US
Telephone Number : 858-752-9607
Fax Number : 951-695-6215
Provider Business Practice Location Address
First Line : 39755 MURRIETA HOT SPRINGS RD STE D160
Second Line :
City : MURRIETA
State : CA
Zip : 92563-9113
Country : US
Telephone Number : 858-752-9607
Fax Number : 951-695-6215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2010
Last Update Date : 03/07/2023

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