Individual
CELESTE ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
805 TIJERAS AVE NW, ALBUQUERQUE, NM 87102-3099
(500) 242-1010
Mailing address
805 TIJERAS AVE NW, ALBUQUERQUE, NM 87102-3099
(500) 242-1010
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
1048
NM
Other
Enumeration date
10/02/2019
Last updated
03/29/2023
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