Provider Information for 1821551227
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GLORIA STEPHANIE ESTRADA LMFT
Sex: Female
NPI: 1821551227
Last Updated: 2024-02-26
Certification Date: 2024-02-26
Certification Date: 2024-02-26
Details
Name | Value | ||||||||||||
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NPI | 1821551227 | ||||||||||||
Enumeration Date | 2019-04-11 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 5740 RALSTON ST STE 100 VENTURA, CA 93003-7847 United States Phone: 805-981-9250 | Fax:805-981-9251 | ||||||||||||
Primary Practice Address | 1911 WILLIAMS DR OXNARD, CA 93036-2612 United States Phone: 805-981-9250 | Fax:805-981-9251 | ||||||||||||
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