Provider Demographics
NPI:1235635574
Name:HULSE, ERIKA ROLDAN (MFT)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:ROLDAN
Last Name:HULSE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2170 THE ALAMEDA STE 202
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-1129
Mailing Address - Country:US
Mailing Address - Phone:650-776-0350
Mailing Address - Fax:
Practice Address - Street 1:2170 THE ALAMEDA STE 202
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-1129
Practice Address - Country:US
Practice Address - Phone:650-776-0350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA105458106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist