Provider Demographics
NPI:1740508787
Name:HERNANDEZ, ERIKA MARIE (MA, LMFT)
Entity type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:MARIE
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11618 PERIWINKLE PL
Mailing Address - Street 2:
Mailing Address - City:JURUPA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91752-5018
Mailing Address - Country:US
Mailing Address - Phone:626-260-8366
Mailing Address - Fax:
Practice Address - Street 1:26565 AGOURA RD STE 200
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1990
Practice Address - Country:US
Practice Address - Phone:844-672-4863
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-14
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA68089106H00000X
UT13113783-3902106H00000X
CA99387106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist