Provider Demographics
NPI:1407232986
Name:ESTRADA, MARANYELI
Entity Type:Individual
Prefix:MS
First Name:MARANYELI
Middle Name:
Last Name:ESTRADA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 E 18TH ST
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-2450
Mailing Address - Country:US
Mailing Address - Phone:925-777-1133
Mailing Address - Fax:925-777-9933
Practice Address - Street 1:55 E 18TH ST
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-2450
Practice Address - Country:US
Practice Address - Phone:925-777-1133
Practice Address - Fax:925-777-9933
Is Sole Proprietor?:No
Enumeration Date:2015-08-06
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor