Individual
ELISA ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC
Contact information
Practice address
160 S 7TH AVE, LA PUENTE, CA 91746-3211
(626) 961-8971
Mailing address
160 S 7TH AVE, LA PUENTE, CA 91746-3211
(626) 961-8971
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC6266
CA
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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