Provider Demographics
NPI:1023413820
Name:ESTESS, JOSEPH (LMFT)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:ESTESS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9027 BOWRING PARK
Mailing Address - Street 2:
Mailing Address - City:CONVERSE
Mailing Address - State:TX
Mailing Address - Zip Code:78109-2803
Mailing Address - Country:US
Mailing Address - Phone:210-310-8384
Mailing Address - Fax:
Practice Address - Street 1:500 N LOOP 1604 E STE 220
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1239
Practice Address - Country:US
Practice Address - Phone:210-310-8384
Practice Address - Fax:210-496-0101
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-23
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG60305618106H00000X
TX202590106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist