Individual
BLANCA ESTELA ALCALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17505 N 79TH AVE STE 314, GLENDALE, AZ 85308-8730
(310) 991-0293
Mailing address
17505 N 79TH AVE STE 314, GLENDALE, AZ 85308-8730
(623) 866-3375
(623) 469-6441
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-20684
AZ
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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