Provider Demographics
NPI:1578718607
Name:ISLA, ESTELA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:ESTELA
Middle Name:
Last Name:ISLA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6709 GREENLEAF AVE #307
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-4123
Mailing Address - Country:US
Mailing Address - Phone:323-379-2232
Mailing Address - Fax:
Practice Address - Street 1:6709 GREENLEAF AVE #307
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-4123
Practice Address - Country:US
Practice Address - Phone:323-379-2232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF75999106H00000X
171M00000X
CALMFT94030106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No171M00000XOther Service ProvidersCase Manager/Care Coordinator