Individual
GENE ESTRADA GARCIA I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1212 W LOMBARD ST, SPRINGFIELD, MO 65806-2720
(417) 982-7645
Mailing address
801 W BLUEGRASS RD, STRAFFORD, MO 65757-9413
(417) 658-5409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2016019480
MO
Other
Enumeration date
07/20/2016
Last updated
11/13/2023
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