Provider Demographics
NPI:1366322620
Name:DUARTE, ERICA MONIQUE
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:MONIQUE
Last Name:DUARTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4251 N WINERY AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-3013
Mailing Address - Country:US
Mailing Address - Phone:559-800-1432
Mailing Address - Fax:559-248-7294
Practice Address - Street 1:3830 E SAGINAW WAY
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-5126
Practice Address - Country:US
Practice Address - Phone:559-800-1432
Practice Address - Fax:559-248-7290
Is Sole Proprietor?:No
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool