Individual provider · Type 1 NPI
Dereck David Estrada, LPMHC
Mental Health Counselor · White City, OR
NPI number
1619440104
Active
Practice location
8495 Crater Lake Hwy # 116B
White City, OR 97503-3011
Mailing address
639 Shadow Way
Central Point, OR 97502-2526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | C4199 (OR) |
Mental Health Counselor: Definition to come...
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- Hannah Kathleen Stafford, MS, LPCMental Health Counselor White City, OR NPI 1861965337
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About NPI 1619440104
Dereck David Estrada, LPMHC's National Provider Identifier is 1619440104, issued on Jan 7, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in White City, OR. The record was last updated on Jan 7, 2019.