DERECK DAVID ESTRADA

WHITE CITY, OR
NPI1619440104
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  C4199)
Enumeration Date2019-01-07
Last Update Date2019-01-07
Business Address
DERECK DAVID ESTRADA LPMHC
8495 CRATER LAKE HWY # 116B
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
Mailing Address
DERECK DAVID ESTRADA LPMHC
639 SHADOW WAY
CENTRAL POINT, OR 97502-2526
Phone number: 541-414-7383
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