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TRACY KATHERIN MARIE ESTRADA CADC-I NPI 1811429541


NPI Information

NPI: 1811429541
Provider Name: TRACY KATHERIN MARIE ESTRADA, CADC-I
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1646 S COURT ST
VISALIA, CA
ZIP 93277
Phone: (559) 625-8890
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Tracy Katherin Marie Estrada, CADC-I is an addiction (substance use disorder) counselor in Visalia, CA. Tracy Katherin Marie Estrada, CADC-I NPI is 1811429541. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1646 S COURT ST
VISALIA, CA
ZIP 93277-962
Phone: (559) 625-8890
Fax: (559) 733-5053

The enumeration date for this NPI number is 3/31/2017 and was last updated on 9/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)CI26900219CALIFORNIANo
2101YA0400XCounselorAddiction (Substance Use Disorder)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11811429541MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.