Estrada, Nicole Marie

Estrada, Nicole Marie is an sole proprietor health care provider with primary practice located at 9615 Grand Ronde Rd , Grand Ronde OR 97347-9712. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Estrada, Nicole Marie can be contacted via phone (503) 879-2026.

Contact Information

Primary practice address
9615 Grand Ronde Rd Grand Ronde OR 97347-9712
Phone: (503) 879-2026
Fax: (503) 879-4606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMF 54034 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X IMF 54034 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT77123 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0986 Oregon

Profile Details

NPI number 1093073439
LBN Legal business name Estrada, Nicole Marie
Credentials LMFT, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2012
Last updated Oct 14th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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