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Individual

MR. ISAAC ESQUIVEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
245 WEST HIGHWAY 114, SUITE 200, SOUTHLAKE, TX 76092
(877) 504-8904
(855) 420-6402
Mailing address
516 TAYLOR DR, ROCKWALL, TX 75087-0508
(469) 264-1616

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
Primary
65422
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1477200889
NPI
TX
Enumeration date
03/05/2022
Last updated
07/25/2025
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