Individual
MARCIA LUANN ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, LADC
Contact information
Practice address
416 VALLEY VIEW DR STE 311, SCOTTSBLUFF, NE 69361-1420
(308) 631-6129
Mailing address
1509 1ST AVE, SCOTTSBLUFF, NE 69361-3106
(308) 635-2256
(308) 635-1271
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
689
NE
101YM0800X
Mental Health Counselor
689
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026260000
—
NE
Enumeration date
01/09/2007
Last updated
02/24/2023
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