Individual
BRENDA M ESTRELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, L.P.C.
Contact information
Practice address
2709 S LAMAR BLVD STE 112, AUSTIN, TX 78704-4757
(512) 785-0055
Mailing address
7631 HIGHWAY 290 W APT 722, AUSTIN, TX 78736-3620
(512) 785-0055
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
61365
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185219602
—
TX
Enumeration date
05/17/2007
Last updated
11/19/2009
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