Provider Demographics
NPI:1508495052
Name:RUSH, ERIN CATHERINE (LMFT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:CATHERINE
Last Name:RUSH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 GERMANIA CT
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-4101
Mailing Address - Country:US
Mailing Address - Phone:818-309-3575
Mailing Address - Fax:
Practice Address - Street 1:6300 GERMANIA CT
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-4101
Practice Address - Country:US
Practice Address - Phone:818-309-3575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT109506106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist