Healthcare Provider Details

I. General information

NPI: 1720927221
Provider Name (Legal Business Name): ESTELLE CHILD & FAMILY THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

96 W CAMPBELL AVE
CAMPBELL CA
95008-1029
US

IV. Provider business mailing address

1526 TARTARIAN WAY
SAN JOSE CA
95129-4757
US

V. Phone/Fax

Practice location:
  • Phone: 650-396-9125
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: ESTELLE DRAHON-SERVEL
Title or Position: CEO
Credential: LMFT
Phone: 408-621-9326