Provider Demographics
NPI:1134411382
Name:ERIKSON, CATHARINE CHESNEY (MA, MFTI)
Entity type:Individual
Prefix:MISS
First Name:CATHARINE
Middle Name:CHESNEY
Last Name:ERIKSON
Suffix:
Gender:F
Credentials:MA, MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 N BEACHWOOD DR APT 408
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90068-2992
Mailing Address - Country:US
Mailing Address - Phone:323-463-0935
Mailing Address - Fax:323-469-3032
Practice Address - Street 1:101 N LA BREA AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-1769
Practice Address - Country:US
Practice Address - Phone:310-412-0202
Practice Address - Fax:310-412-9580
Is Sole Proprietor?:No
Enumeration Date:2011-05-06
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 62381101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health