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Individual

CHAD TYLER ESTRELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
QMHA-R, CADC-R

Contact information

Practice address
132 E BROADWAY STE 431, EUGENE, OR 97401-3158
(541) 390-4559
Mailing address
132 E BROADWAY STE 431, EUGENE, OR 97401-3158
(541) 390-4559

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-25-5154
OR
101YM0800X
Mental Health Counselor
Primary
25-QMHA-R-6784
OR

Other

Enumeration date
10/25/2025
Last updated
10/25/2025
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