Provider Demographics
NPI:1053121855
Name:KOSTERLITZKY, ERIKA CHRISTENSON (LMFT)
Entity type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:CHRISTENSON
Last Name:KOSTERLITZKY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 W HEBER ST
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-3220
Mailing Address - Country:US
Mailing Address - Phone:626-422-1339
Mailing Address - Fax:
Practice Address - Street 1:750 W HEBER ST
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-3220
Practice Address - Country:US
Practice Address - Phone:626-422-1339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA146706106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist