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NPI Code Detail

MEDICARE: CINDY ESTRADA LCPC

MEDICARE: CINDY ESTRADA LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor180.015213IL

General Provider Information

NPI Number : 1265274328
Entity Type Code : Individual
Provider Name (Legal Business Name) : CINDY ESTRADA LCPC
Provider Business Mailing Address
First Line : 1105 S WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60612-4146
Country : US
Telephone Number : 312-746-5905
Fax Number :
Provider Business Practice Location Address
First Line : 1105 S WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60612-4146
Country : US
Telephone Number : 312-746-5905
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2024
Last Update Date : 06/10/2024

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Directions to “ CINDY ESTRADA LCPC” Practice Location

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