Individual
ANDRE ESTEPHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3827 E COLORADO BLVD, PASADENA, CA 91107-3935
(626) 327-5711
Mailing address
950 W SIERRA MADRE AVE, APT 614, AZUSA, CA 91702-1800
(626) 327-5711
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
85912
CA
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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