Provider Demographics
NPI:1801885405
Name:FLORES, ERIC (MFT)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:FLORES
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 STATE ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-8404
Mailing Address - Country:US
Mailing Address - Phone:805-682-1293
Mailing Address - Fax:805-682-0408
Practice Address - Street 1:1815 STATE ST
Practice Address - Street 2:SUITE E
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-8404
Practice Address - Country:US
Practice Address - Phone:805-682-1293
Practice Address - Fax:805-682-0408
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC40584106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist