Provider Demographics
NPI:1841506698
Name:BORDEN, ERIN (MFT)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:
Last Name:BORDEN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1412 17TH ST STE 258
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-5219
Mailing Address - Country:US
Mailing Address - Phone:661-444-7229
Mailing Address - Fax:
Practice Address - Street 1:1412 17TH ST STE 258
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5219
Practice Address - Country:US
Practice Address - Phone:661-444-7229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC45028106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist