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1255061636
JASON LOUIS ESTRADA
YAKIMA, WA
NPI
1255061636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-06-16
Last Update Date
2023-06-28
Business Address
JASON LOUIS ESTRADA SUDPT
201 E LINCOLN AVE
YAKIMA, WA 98901-2348
Phone number: 509-457-5633
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Mailing Address
JASON LOUIS ESTRADA SUDPT
315 N 2ND ST
YAKIMA, WA 98901-2334
Phone number: 509-469-9366
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