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NPI Code Detail

MEDICARE: JULIE ESTRADA LPC, LCDC, NCC

MEDICARE: JULIE ESTRADA LPC, LCDC, NCC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor16035TX
2101YM0800XMental Health Counselor83617TX

General Provider Information

NPI Number : 1801555628
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE ESTRADA LPC, LCDC, NCC
Provider Business Mailing Address
First Line : 14603 HUEBNER RD BLDG 6
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78230-5475
Country : US
Telephone Number : 210-981-4312
Fax Number : 210-899-1008
Provider Business Practice Location Address
First Line : 14603 HUEBNER RD BLDG 6
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78230-5475
Country : US
Telephone Number : 210-981-4312
Fax Number : 210-899-1008
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2021
Last Update Date : 01/14/2026

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