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NPI Code Detail

MEDICARE: LISA ANNE MOLBERT LAADC

MEDICARE: LISA ANNE MOLBERT LAADC
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
1101YA0400XAddiction (Substance Use Disorder) CounselorLR10460824CA

General Provider Information

NPI Number : 1144015694
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA ANNE MOLBERT LAADC
Provider Business Mailing Address
First Line : 4144 WINDING WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95841-4413
Country : US
Telephone Number : 916-737-1481
Fax Number :
Provider Business Practice Location Address
First Line : 4144 WINDING WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95841-4413
Country : US
Telephone Number : 916-737-1481
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2025
Last Update Date : 02/02/2026

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Directions to “ LISA ANNE MOLBERT LAADC” Practice Location

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