Healthcare Provider Details

I. General information

NPI: 1720654254
Provider Name (Legal Business Name): ALESSANDRA MOLINA MA, APCC, PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2021
Last Update Date: 06/03/2021
Certification Date: 06/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5619 N FIGUEROA ST SUITE 228
LOS ANGELES CA
90042-4979
US

IV. Provider business mailing address

366 N SYCAMORE AVE
LOS ANGELES CA
90036-2682
US

V. Phone/Fax

Practice location:
  • Phone: 213-699-4723
  • Fax:
Mailing address:
  • Phone: 323-828-1989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7183
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: