Doctor Name: | ERISHE NICOLE EDWARDS |
NPI Number: | 1013343268 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 24275 Jefferson Ave Murrieta, CA - 925627285 |
Business Phone Number: | 9516775599 |
Business Fax Number: | 9516980461 |
Mailing Address: | 24275 Jefferson Ave, MURRIETA |
State: | CA |
Postal Code: | 925627285 |
Phone Number: | 9516775599 |
Fax Number: | 9516980461 |
NPI Enumeration Date: | 09/19/2013 |
NPI Last Update Date: | 09/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |