Provider Demographics
NPI:1972372696
Name:ESTRADA, ARTURO ADRIAN (AMFT)
Entity type:Individual
Prefix:
First Name:ARTURO
Middle Name:ADRIAN
Last Name:ESTRADA
Suffix:
Gender:M
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 F ST APT 77
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-3353
Mailing Address - Country:US
Mailing Address - Phone:619-371-0013
Mailing Address - Fax:
Practice Address - Street 1:4167 FAIRMOUNT AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105-1642
Practice Address - Country:US
Practice Address - Phone:619-987-6750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT143073106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist