Individual ProviderMark Alan EricksonMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address16248 Victor St, Victorville, CA 92395-3934(760) 243-7151PECOS EnrollmentBased on the most recent information from CMS, provider Mark Alan Erickson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1225149198Provider TypeIndividualFull NameErickson, Mark AlanTitleMr.CredentialMA, MFTGenderMaleSole ProprietorNoEnumeration Date8/31/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address16248 Victor St, Victorville, CA 92395-3934Phone(760) 243-7151Fax(760) 952-1432Mailing LocationMailing Address16248 Victor St, Victorville, CA 92395-3934Phone(760) 243-7151Fax(760) 952-1432Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFT409030California