Provider Demographics
NPI:1184981037
Name:WOODWARD, ERIN LOUISE (LMFT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:LOUISE
Last Name:WOODWARD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40644 SADDLEBACK RD
Mailing Address - Street 2:
Mailing Address - City:BASS LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:93604-9726
Mailing Address - Country:US
Mailing Address - Phone:562-822-9614
Mailing Address - Fax:559-775-1432
Practice Address - Street 1:40644 SADDLEBACK RD
Practice Address - Street 2:
Practice Address - City:BASS LAKE
Practice Address - State:CA
Practice Address - Zip Code:93604-9726
Practice Address - Country:US
Practice Address - Phone:628-229-6145
Practice Address - Fax:559-775-1432
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-17
Last Update Date:2022-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist