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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE MARIE ESTRADA, LMFT, LPC

Active Sole Proprietor

NICOLE MARIE ESTRADA, LMFT, LPC is a Marriage & Family Therapist healthcare provider located in GRAND RONDE, Oregon. NPI 1093073439 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · GRAND RONDE, OR

Registration Details

NPI Number
1093073439
Provider Type
Individual
Gender
Female
NPI Issued
Apr 23, 2012 (14.165606279143 yrs)
Last Updated
Oct 14, 2014
Licenses
IMF 54034 (CA)
IMF 54034 (CA)
LMFT77123 (CA)
T0986 (OR)
Sole Proprietor
Yes

Practice Information

Address
9615 GRAND RONDE RD
GRAND RONDE, OR, 973479712
Browse OR providers · Browse ZIP 97347
Phone
5038792026
Fax
5038794606
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Mental Health Counselor
Additional Specialty
Marriage & Family Therapist
Additional Specialty
Marriage & Family Therapist
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in GRAND RONDE, OR

Name Credential NPI
JILL GOODWIN LPC, MFT, ATR 1477096386
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.