Basic Information
| Provider Information | |||||||||
| NPI: | 1669729596 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TIMBERS | ||||||||
| FirstName: | ERIKO | ||||||||
| MiddleName: | N | ||||||||
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| Credential: | LMFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2680 S WHITE RD STE 260 | ||||||||
| Address2: | |||||||||
| City: | SAN JOSE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 951482080 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4087553905 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2680 S WHITE RD STE 260 | ||||||||
| Address2: | |||||||||
| City: | SAN JOSE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 951482080 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4087553905 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2012 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.