Individual
LIONEL ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISAC
Contact information
Practice address
16444 N 91ST ST, SCOTTSDALE, AZ 85260-1567
(800) 480-1781
Mailing address
16444 N 91ST ST, SCOTTSDALE, AZ 85260-1567
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC-15370
AZ
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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