Individual
RON ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1025 HERMOSA DR SE, ALBUQUERQUE, NM 87108-4312
(505) 237-0061
Mailing address
5324 ALVARADO PL NE, ALBUQUERQUE, NM 87110-5108
(505) 715-7121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0167481
NM
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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