Gonzalez, Estefani

Gonzalez, Estefani is an individual health care provider with primary practice located at 3895 George Anderson Rd , Springdale AR 72764-8251. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Gonzalez, Estefani can be contacted via phone (479) 521-1532.

Contact Information

Primary practice address
3895 George Anderson Rd Springdale AR 72764-8251
Phone: (479) 521-1532
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X A2108015 Arkansas

Profile Details

NPI number 1275012619
LBN Legal business name Gonzalez, Estefani
Credentials MA, LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2018
Last updated Nov 16th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275012619 NPPES
Arkansas MEDICAID 228307795

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