MEDICARE: MARIA E MOLINAR LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	3862	TX

General Provider Information

NPI Number	:	1104150887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA E MOLINAR LPC

Provider Business Mailing Address
First Line	:	1626 MEDICAL CENTER DR STE 4A
Second Line	:	4TH FLOOR
City	:	EL PASO
State	:	TX
Zip	:	79902-5010
Country	:	US
Telephone Number	:	915-532-3770
Fax Number	:	915-313-0487

Provider Business Practice Location Address
First Line	:	1626 MEDICAL CENTER DR STE 4A
Second Line	:	4TH FLOOR
City	:	EL PASO
State	:	TX
Zip	:	79902-5010
Country	:	US
Telephone Number	:	915-532-3770
Fax Number	:	915-313-0487

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2009
Last Update Date	:	09/28/2009

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Directions to “ MARIA E MOLINAR LPC” Practice Location

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