Estrada, Kassandra Nicole

Estrada, Kassandra Nicole is an sole proprietor health care provider with primary practice located at 202 N 8Th St , El Centro CA 92243-2302. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Estrada, Kassandra Nicole can be contacted via phone (442) 265-1525.

Contact Information

Primary practice address
202 N 8Th St El Centro CA 92243-2302
Phone: (442) 265-1525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1083372189
LBN Legal business name Estrada, Kassandra Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2021
Last updated Feb 13th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083372189 NPPES
California MEDICAID 98456074G90248

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