Provider Demographics
NPI:1295010346
Name:HUDSON, ERICA ALEXIS (LMFT)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:ALEXIS
Last Name:HUDSON
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 1:6039 OLD QUARRY LOOP
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-3375
Mailing Address - Country:US
Mailing Address - Phone:408-341-9079
Mailing Address - Fax:
Practice Address - Street 1:2681 ZANKER RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95134-2137
Practice Address - Country:US
Practice Address - Phone:408-928-1700
Practice Address - Fax:408-928-1701
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA155265106H00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health