Individual provider · Type 1 NPI

Maryellen T. Estrada, LADC

Addiction (Substance Use Disorder) Counselor · Stamford, CT

NPI number 1366190969 Active

Practice location

240 Wardwell St Apt 24
Stamford, CT 06902-5241

Call (203) 962-4929 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X001332 (CT)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1366190969

Maryellen T. Estrada, LADC's National Provider Identifier is 1366190969, issued on Mar 13, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stamford, CT. The record was last updated on Mar 13, 2022.