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Myra Estrella Dasalla
Mental Health Counselor in Stockton, California
NPI 1164004222

Myra Estrella Dasalla is a Mental Health Counselor based in Stockton, CA and is specialized in Mental Health. Myra Estrella Dasalla practices in Stockton, CA. The NPI Number for Myra Estrella Dasalla is 1164004222 and holds a License No. (California).

The current practice location address for Myra Estrella Dasalla is 306 E Main St Ste 307, Stockton, CA and can be reached out via phone at 209-478-4554 and via fax at 209-478-1991.

Location: 306 E Main St Ste 307, Stockton, CA, 95202-2908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164004222
Provider Name
Myra Estrella Dasalla
Credential
Provider Entity Type
Individual
Gender
Female
Address
306 E Main St Ste 307, Stockton, CA, 95202-2908
Phone Number
209-478-4554
Fax Number
209-478-1991
Provider Enumeration Date
04/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
306 E Main St Ste 307
City
Stockton
State
California
Zip
95202-2908
Phone Number
209-478-4554
Fax Number
209-478-1991
person
Provider Business Mailing Address Details
Address
306 E Main St Ste 307
City
Stockton
State
California
Zip
95202-2908
Phone Number
209-478-4554
Fax Number
209-478-1991
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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