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Individual
TRACY KATHERIN MARIE ESTRADA
Active
Individual
TRACY KATHERIN MARIE ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC-I
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CI26900219
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811429541
—
CA
Enumeration date
03/31/2017
Last updated
09/01/2022
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