Provider Demographics
NPI:1063824209
Name:JOHNSON, ERIKA C
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:C
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 720172
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92172-0172
Mailing Address - Country:US
Mailing Address - Phone:208-477-1949
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 720172
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92172-0172
Practice Address - Country:US
Practice Address - Phone:208-477-1949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-22
Last Update Date:2025-11-04
Deactivation Date:2014-09-03
Deactivation Code:
Reactivation Date:2025-08-11
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor