Provider Demographics
NPI:1225157480
Name:APODACA-STOLTZ, ERIKA ADRINA
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:ADRINA
Last Name:APODACA-STOLTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4640 SPYRES WAY, BLDG B, STE 7
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95356-9800
Mailing Address - Country:US
Mailing Address - Phone:209-324-9714
Mailing Address - Fax:
Practice Address - Street 1:4640 SPYRES WAY, BLDG B, STE 7
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95356-9800
Practice Address - Country:US
Practice Address - Phone:209-324-9714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
CAIMF 66430106H00000X
CA86809106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)