Healthcare Provider Details

I. General information

NPI: 1821482571
Provider Name (Legal Business Name): ESTEBAN ANTONIO DORIA LMHCA, ICGC-I
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEVEN DORIA

II. Dates (important events)

Enumeration Date: 03/20/2015
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

447 SUTTER ST STE 405
SAN FRANCISCO CA
94108-4618
US

IV. Provider business mailing address

203 WILLOW AVE
SULTAN WA
98294-7656
US

V. Phone/Fax

Practice location:
  • Phone: 415-992-6155
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC.70113576
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: