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General NPI Number Information
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NPI Number | 1720927221
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Entity Type | Organization
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Legal Business Name | ESTELLE CHILD & FAMILY THERAPY INC.
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Dates
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Enumeration Date | 03/27/2026
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 96 W CAMPBELL AVE
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City | CAMPBELL
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State | CA
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Zip | 95008-1029
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Country | US
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Telephone | 650-396-9125
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Fax |
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Provider Business Mailing Address
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Address Line | 1526 TARTARIAN WAY
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City | SAN JOSE
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State | CA
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Zip | 95129-4757
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ESTELLE DRAHON-SERVEL
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Credential | LMFT
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Telephone | 408-621-9326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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