Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 101YM0800X | Mental Health Counselor | ||
N | 101YP1600X | Pastoral Counselor | CA | |
N | 101YS0200X | School Counselor |
NPI | 1215284880 |
---|---|
Provider Name | Mr. Darrin Erb |
First Address | Cathedral City, CA 92234-4186 |
Second Address | Palm Springs, CA 92262-5418 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2012 |
Last Update Date | 12/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
116310 | MENTAL HEALTH SERVICES (01) | CA |