Individual
LAURYN LEIGH ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
16870 W BERNARDO DR STE 400, SAN DIEGO, CA 92127-1678
(760) 652-9680
Mailing address
1605 LOCUST ST, SAN DIEGO, CA 92106-2250
(714) 483-2737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8567
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/17/2019
Last updated
03/19/2021
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