Provider Demographics
NPI:1427349547
Name:ESTES, RYEL M (MS, LMFT)
Entity type:Individual
Prefix:MS
First Name:RYEL
Middle Name:M
Last Name:ESTES
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:458 S OWEN DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-1550
Mailing Address - Country:US
Mailing Address - Phone:608-695-8473
Mailing Address - Fax:608-274-5764
Practice Address - Street 1:5610 MEDICAL CIR STE 25
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-1295
Practice Address - Country:US
Practice Address - Phone:608-274-5871
Practice Address - Fax:608-274-5764
Is Sole Proprietor?:No
Enumeration Date:2011-04-23
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI955-124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist