Provider Demographics
NPI:1417413220
Name:HARNISH, ERIN L (MA, AMFT)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:L
Last Name:HARNISH
Suffix:
Gender:F
Credentials:MA, AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 N MOUNT SHASTA BLVD # 155
Mailing Address - Street 2:
Mailing Address - City:MOUNT SHASTA
Mailing Address - State:CA
Mailing Address - Zip Code:96067-2232
Mailing Address - Country:US
Mailing Address - Phone:415-515-4340
Mailing Address - Fax:
Practice Address - Street 1:419 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:MOUNT SHASTA
Practice Address - State:CA
Practice Address - Zip Code:96067-2907
Practice Address - Country:US
Practice Address - Phone:530-918-8545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-17
Last Update Date:2019-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist