person
Dereck David Estrada, LPMHC
Mental Health Counselor in White City, Oregon
NPI 1619440104

Dereck David Estrada is a Mental Health Counselor based in Central Point, OR and is specialized in Mental Health. Dereck David Estrada practices in White City, OR and has the professional credentials of LPMHC. The NPI Number for Dereck David Estrada is 1619440104 and holds a License No. C4199 (Oregon).

The current practice location address for Dereck David Estrada is 8495 Crater Lake Hwy # 116B, White City, OR and can be reached out via phone at 541-826-2111.

Location: 8495 Crater Lake Hwy # 116B, White City, OR, 97502-2526
person
Provider Profile Details
NPI Number
1619440104
Provider Name
Dereck David Estrada
Credential
LPMHC
Provider Entity Type
Individual
Gender
Male
Address
8495 Crater Lake Hwy # 116B, White City, OR, 97502-2526
Phone Number
541-826-2111
Fax Number
Provider Enumeration Date
01/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8495 Crater Lake Hwy # 116B
City
State
Zip
97503-3011
Phone Number
541-826-2111
Fax Number
person
Provider Business Mailing Address Details
Address
8495 Crater Lake Hwy # 116B
City
State
Zip
97503-3011
Phone Number
541-826-2111
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C4199 (Oregon)
Definition
Definition to come...
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