Individual
CALIFORNIA ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18888 HIGHWAY 18, SUITE 106, APPLE VALLEY, CA 92307
(760) 961-5370
Mailing address
12708 5TH AVE, VICTORVILLE, CA 92395-9424
(760) 243-3820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
09/21/2018
Last updated
08/14/2024
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