Provider Demographics
NPI:1437385598
Name:HESLET, ERICK STEPHEN (MA, MFT, RAS)
Entity Type:Individual
Prefix:
First Name:ERICK
Middle Name:STEPHEN
Last Name:HESLET
Suffix:
Gender:M
Credentials:MA, MFT, RAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39001 SUNDALE DR
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2005
Mailing Address - Country:US
Mailing Address - Phone:510-574-4819
Mailing Address - Fax:510-574-4862
Practice Address - Street 1:39001 SUNDALE DR
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-2005
Practice Address - Country:US
Practice Address - Phone:510-574-4819
Practice Address - Fax:510-574-4862
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-03
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC41558106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist