Basic Information
| Provider Information | |||||||||
| NPI: | 1851906549 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OCHOA | ||||||||
| FirstName: | ERIC | ||||||||
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| Credential: | MA, AMFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1716 EICHELBERGER CT | ||||||||
| Address2: | |||||||||
| City: | MARINA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 939335020 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8088409456 | ||||||||
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| Practice Location | |||||||||
| Address1: | 335 E LAKE AVE | ||||||||
| Address2: | |||||||||
| City: | WATSONVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 950764826 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8317286445 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/10/2020 | ||||||||
| LastUpdateDate: | 09/10/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/10/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 121200 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.