Provider Demographics
NPI:1548470735
Name:ESTRADA, ALEJANDRINA O (PHD, MFT)
Entity type:Individual
Prefix:
First Name:ALEJANDRINA
Middle Name:O
Last Name:ESTRADA
Suffix:
Gender:F
Credentials:PHD, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1868 CLAYTON RD STE 221
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-2503
Mailing Address - Country:US
Mailing Address - Phone:925-876-2939
Mailing Address - Fax:
Practice Address - Street 1:1868 CLAYTON RD STE 221
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-2503
Practice Address - Country:US
Practice Address - Phone:925-876-2939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT22876106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist