Provider Demographics
NPI:1417322041
Name:MILLS, ERNA C (LMFT)
Entity Type:Individual
Prefix:
First Name:ERNA
Middle Name:C
Last Name:MILLS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ERNA
Other - Middle Name:
Other - Last Name:CASTREJON ALVAREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:5638 LAKE MURRAY BLVD # 119
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91942-1929
Mailing Address - Country:US
Mailing Address - Phone:714-224-9972
Mailing Address - Fax:
Practice Address - Street 1:2801 CAMINO DEL RIO S STE 204-3
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3800
Practice Address - Country:US
Practice Address - Phone:619-402-5569
Practice Address - Fax:877-320-7577
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-08
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA105892106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty