Individual
MR. IVAN EDWIN ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2295 PARKLAKE DR NE STE 558, ATLANTA, GA 30345-2951
(678) 360-3297
Mailing address
194 MAYS RD, STOCKBRIDGE, GA 30281-2529
(678) 360-3297
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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