Provider Demographics
NPI:1215288964
Name:LOKEN, ERIN LEIGH (MS, LMFT)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:LEIGH
Last Name:LOKEN
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:LEIGH
Other - Last Name:HARRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LMFT
Mailing Address - Street 1:8152 SW HALL BLVD # 1088
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-6415
Mailing Address - Country:US
Mailing Address - Phone:213-555-5555
Mailing Address - Fax:
Practice Address - Street 1:4016 SOUTH 3RD ST # 1141
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250-5848
Practice Address - Country:US
Practice Address - Phone:213-555-5555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-20
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52207106H00000X
ORT1494106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist