Provider Demographics
NPI:1255414066
Name:AHUERO, ESTELA MARIA (MA)
Entity type:Individual
Prefix:MRS
First Name:ESTELA
Middle Name:MARIA
Last Name:AHUERO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MRS
Other - First Name:ESTELA
Other - Middle Name:MARIA
Other - Last Name:ROUSSEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:800 N ECKHOFF ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-1008
Mailing Address - Country:US
Mailing Address - Phone:714-704-8827
Mailing Address - Fax:
Practice Address - Street 1:301 THE CITY DR S
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3205
Practice Address - Country:US
Practice Address - Phone:714-935-6363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health