Provider Demographics
NPI:1386071298
Name:SALAZAR, ESTEBAN (LPC, LCDC)
Entity type:Individual
Prefix:MR
First Name:ESTEBAN
Middle Name:
Last Name:SALAZAR
Suffix:
Gender:M
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3833 S STAPLES ST STE N202
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-5219
Mailing Address - Country:US
Mailing Address - Phone:361-236-7576
Mailing Address - Fax:
Practice Address - Street 1:3833 S STAPLES ST STE N202
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-5219
Practice Address - Country:US
Practice Address - Phone:361-236-7576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-09
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12187101YA0400X
TX81278101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)