Provider Demographics
NPI:1902002579
Name:ERICKSON ROBINSON, MARGARET LEE (LMFT, RN)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:LEE
Last Name:ERICKSON ROBINSON
Suffix:
Gender:F
Credentials:LMFT, RN
Other - Prefix:MRS
Other - First Name:MARGARET
Other - Middle Name:LEE
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT,RN
Mailing Address - Street 1:7761 E RAINVIEW CT
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808-2119
Mailing Address - Country:US
Mailing Address - Phone:714-281-2697
Mailing Address - Fax:
Practice Address - Street 1:2055 KELLOGG AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-3111
Practice Address - Country:US
Practice Address - Phone:951-898-7010
Practice Address - Fax:951-898-7401
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC29953106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist