Most Relevant Information
Provider Data
| NPI Number: | 1003327636 |
| Provider Name: | JOHN LYLE ESTEN LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/23/2017 |
| Last Updated: | 02/06/2024 |
Provider Practice Location
200 W ARBOR DR
SAN DIEGO
CA
921039000
Practice Location Phone/Fax
| Phone: | 8009268273 |
| Fax: | 8885398781 |
Provider Mailing Location
FILE 57326
LOS ANGELES
CA
900740001
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |