Provider Demographics
NPI:1295197077
Name:GARTON, ERICA LEE (MFTI)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:LEE
Last Name:GARTON
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:MISS
Other - First Name:ERICA
Other - Middle Name:LEE
Other - Last Name:LARUSSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFTI
Mailing Address - Street 1:1007 FUNSTON AVE
Mailing Address - Street 2:
Mailing Address - City:PACIFIC GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:93950-5408
Mailing Address - Country:US
Mailing Address - Phone:818-517-4784
Mailing Address - Fax:
Practice Address - Street 1:1270 NATIVIDAD RD
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-3122
Practice Address - Country:US
Practice Address - Phone:831-755-4510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA81153106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist