Erlinda Addison, AMFT
Individual provider Active NPI Marriage & Family Therapist · Tustin, CA
NPI 1962239780 · NPPES record last updated Sep 16, 2024
Key facts
- NPI
- 1962239780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- AMFT149712 (CA)
- Practice address
- 12821 Newport Ave
Tustin, CA 92780-2711 - Phone
- (949) 529-2158
- NPI assigned
- Sep 16, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT149712 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AMFT149712 | CA | Yes |
Addresses
Primary practice location
12821 Newport Ave
Tustin, CA 92780-2711
Mailing address
1702 S Doreen Way
Santa Ana, CA 92704-4221
Phone (949) 529-2158
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All providers in Tustin, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.