Individual
MICHAEL ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8211 WOLVERINE DR NW, ALBUQUERQUE, NM 87120-5269
(505) 306-9031
Mailing address
8211 WOLVERINE DR NW, ALBUQUERQUE, NM 87120-5269
(505) 306-9031
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
SWB-2023-0428
NM
Other
Enumeration date
06/13/2014
Last updated
09/12/2024
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