Individual
BECKY ESTABROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TEMP.LMHC, CADC
Contact information
Practice address
125 S 3RD ST, AMES, IA 50010-7042
(515) 233-3141
Mailing address
PO BOX 1628, AMES, IA 50010-1628
(515) 233-3141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10125
IA
101YM0800X
Mental Health Counselor
Primary
1348
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YA0400X
—
IA
05
—
101YM0800X
—
IA
Enumeration date
12/06/2010
Last updated
12/06/2010
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