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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

Details

NameValue
NPI1821551227
Enumeration Date2019-04-11
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
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
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 106H00000X - Marriage & Family Therapist CA109317
Yes 106H00000X - Marriage & Family Therapist CA143224