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NPI Code Detail

MEDICARE: KELLEY MOLINARI LMFT

MEDICARE: KELLEY MOLINARI LMFT
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
1106H00000XMarriage & Family TherapistLF60946975WA

General Provider Information

NPI Number : 1679028492
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLEY MOLINARI LMFT
Provider Business Mailing Address
First Line : 4300 TALBOT RD S STE 403
Second Line :
City : RENTON
State : WA
Zip : 98055-6238
Country : US
Telephone Number : 253-630-2992
Fax Number :
Provider Business Practice Location Address
First Line : 195 NE GILMAN BLVD STE 100
Second Line :
City : ISSAQUAH
State : WA
Zip : 98027-2940
Country : US
Telephone Number : 425-295-7697
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2016
Last Update Date : 02/20/2020

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Directions to “ KELLEY MOLINARI LMFT” Practice Location

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