MEDICARE: MR. ESTEBAN SALAZAR LPC, LCDC

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	12187	TX
2	101YP2500X	Professional Counselor	81278	TX

General Provider Information

NPI Number	:	1386071298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ESTEBAN SALAZAR LPC, LCDC

Provider Business Mailing Address
First Line	:	5988 SHADY HILL CIR
Second Line	:
City	:	PRINCETON
State	:	TX
Zip	:	75407-4987
Country	:	US
Telephone Number	:	361-549-5306
Fax Number	:

Provider Business Practice Location Address
First Line	:	5988 SHADY HILL CIR
Second Line	:
City	:	PRINCETON
State	:	TX
Zip	:	75407-4987
Country	:	US
Telephone Number	:	361-549-5306
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2013
Last Update Date	:	12/03/2025

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