Individual
MR. ESTAFAN N.S. FARAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2180 W 1ST ST, SUITE 202, FORT MYERS, FL 33901-3222
(239) 332-8009
(239) 332-8009
Mailing address
2180 W 1ST ST, SUITE 202, FORT MYERS, FL 33901-3222
(239) 332-8009
(239) 332-8009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
SW5839
FL
1041C0700X
Clinical Social Worker
Primary
SW 5839
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764547300
—
FL
Enumeration date
02/07/2007
Last updated
08/21/2025
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