Provider Demographics
NPI:1851414007
Name:ROSENBLUM, ERIN MARIE (MFTTI)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MARIE
Last Name:ROSENBLUM
Suffix:
Gender:F
Credentials:MFTTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94041-2030
Mailing Address - Country:US
Mailing Address - Phone:650-965-2020
Mailing Address - Fax:
Practice Address - Street 1:711 CHRUCH ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94041
Practice Address - Country:US
Practice Address - Phone:650-965-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)