Dereck David Estrada, LPMHC
NPI #1619440104 in White City, Oregon
Provider Information
- NPI Number
- 1619440104
- Entity Type
- Individual
- Name
- Dereck David Estrada, LPMHC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPMHC
- Enumeration Date
- Jan 7, 2019
- Last Updated
- Jan 7, 2019
Practice Location
- Address
- 8495 CRATER LAKE HWY # 116B
- City
- White City
- State
- Oregon
- ZIP Code
- 97503-3011
- Phone
- (541) 826-2111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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