Individual
RICARDA ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
7722 N LOOP DR, EL PASO, TX 79915-2907
(915) 782-4014
(915) 850-0249
Mailing address
7722 N LOOP DR, EL PASO, TX 79915-2907
(915) 782-4014
(915) 850-0249
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10410
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10410
DSHS
TX
Enumeration date
06/23/2015
Last updated
06/23/2015
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