Individual
TEDDY KAY WALTER ESTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSC, LAC, NCC
Contact information
Practice address
7490 S CAMINO DE OESTE, TUCSON, AZ 85746-9308
(520) 879-6181
Mailing address
6259 E TIMROD ST, UNIT 3, TUCSON, AZ 85711-4673
(520) 909-7452
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-13811
AZ
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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