Provider Demographics
NPI:1487242871
Name:HAINES, ERIKA CHRISTIANE (MA, LMFT)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:CHRISTIANE
Last Name:HAINES
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:362 WALNUT AVE
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-3151
Mailing Address - Country:US
Mailing Address - Phone:858-229-2299
Mailing Address - Fax:
Practice Address - Street 1:362 WALNUT AVE
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-3151
Practice Address - Country:US
Practice Address - Phone:858-229-2299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-02
Last Update Date:2021-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48589101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health