Provider Demographics
NPI:1093573255
Name:IGARTA, ERIKA BIANCA
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:BIANCA
Last Name:IGARTA
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ERIKA
Other - Middle Name:BIANCA
Other - Last Name:IGARTA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AMFT
Mailing Address - Street 1:1363 B ST
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-2917
Mailing Address - Country:US
Mailing Address - Phone:510-760-0276
Mailing Address - Fax:
Practice Address - Street 1:1363 B ST
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-2917
Practice Address - Country:US
Practice Address - Phone:510-760-0276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA144951101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health