MEDICARE: ESTELLA NOLASCO

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	106H00000X	Marriage & Family Therapist	160480	CA

General Provider Information

NPI Number	:	1639818305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTELLA NOLASCO

Provider Business Mailing Address
First Line	:	516 W SHAW AVE STE 200
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93704-2515
Country	:	US
Telephone Number	:	559-315-4304
Fax Number	:

Provider Business Practice Location Address
First Line	:	516 W SHAW AVE STE 200
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93704-2515
Country	:	US
Telephone Number	:	559-315-4304
Fax Number	:

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

Provider Enumeration Date	:	06/01/2022
Last Update Date	:	04/26/2026

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Directions to “ ESTELLA NOLASCO ” Practice Location

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