Individual
NISIM YADIEL ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
337 E CORONADO RD STE 201, PHOENIX, AZ 85004-1583
(480) 712-4600
Mailing address
337 E CORONADO RD STE 201, PHOENIX, AZ 85004-1583
(480) 712-4600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-22541
AZ
101YP2500X
Professional Counselor
22541
AZ
Other
Enumeration date
10/31/2023
Last updated
02/23/2024
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