Individual
ABIGAIL CRUZ ESTUPINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
341 IRWIN LN, SANTA ROSA, CA 95401-5603
(707) 360-1511
Mailing address
341 IRWIN LN, SANTA ROSA, CA 95401-5603
(707) 360-1511
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/27/2020
Last updated
05/30/2023
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