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Erin Depuy Liestman
Student in an Organized Health Care Education/Training Program in El Cajon, California
NPI 1801438775

Erin Depuy Liestman is a Student in an Organized Health Care Education/Training Program based in El Cajon, CA. Erin Depuy Liestman practices in El Cajon, CA. The NPI Number for Erin Depuy Liestman is 1801438775 and holds a License No. (California).

The current practice location address for Erin Depuy Liestman is 1664 Broadway, El Cajon, CA and can be reached out via phone at 714-404-8419.

Location: 1664 Broadway, El Cajon, CA, 92021-5201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801438775
Provider Name
Erin Depuy Liestman
Credential
Provider Entity Type
Individual
Gender
Female
Address
1664 Broadway, El Cajon, CA, 92021-5201
Phone Number
714-404-8419
Fax Number
Provider Enumeration Date
10/11/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1700919735 01 CA SAN DIEGO CENTER FOR CHILDREN
1760431670 01 CA COMMUNITY AND SCHOOL BASED COUNSELING
institution
Provider Business Practice Location Address Details
Address
1664 Broadway
City
El Cajon
State
California
Zip
92021-5201
Phone Number
714-404-8419
Fax Number
person
Provider Business Mailing Address Details
Address
1664 Broadway
City
El Cajon
State
California
Zip
92021-5201
Phone Number
714-404-8419
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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