MEDICARE: MRS. YOLANDA ESTRADA GARCIA M.ED., LPC

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	101Y00000X	Counselor	61270	TX

General Provider Information

NPI Number	:	1679813992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. YOLANDA ESTRADA GARCIA M.ED., LPC

Provider Business Mailing Address
First Line	:	504 SPRING HILL DR STE 360
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77386-6030
Country	:	US
Telephone Number	:	713-408-1909
Fax Number	:

Provider Business Practice Location Address
First Line	:	504 SPRING HILL DR STE 360
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77386-6030
Country	:	US
Telephone Number	:	713-408-1909
Fax Number	:

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

Provider Enumeration Date	:	02/22/2013
Last Update Date	:	02/22/2013

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