Provider Demographics
NPI:1376977041
Name:ESTLING, RHONDA LEANN (MFT)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:LEANN
Last Name:ESTLING
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:LEANN
Other - Last Name:BUTLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:118 3RD AVE SE
Mailing Address - Street 2:SUITE 311
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52401-1412
Mailing Address - Country:US
Mailing Address - Phone:319-804-9278
Mailing Address - Fax:
Practice Address - Street 1:118 3RD AVE SE
Practice Address - Street 2:SUITE 311
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52401-1412
Practice Address - Country:US
Practice Address - Phone:319-804-9278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-29
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA000421106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0101342Medicaid