MEDICARE: MISS JESSICA MOLINA M.S., LMHC

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	101YM0800X	Mental Health Counselor	017362	NY

General Provider Information

NPI Number	:	1952843641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JESSICA MOLINA M.S., LMHC

Provider Business Mailing Address
First Line	:	5337 206TH ST
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-1713
Country	:	US
Telephone Number	:	954-605-1809
Fax Number	:

Provider Business Practice Location Address
First Line	:	5337 206TH ST
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-1713
Country	:	US
Telephone Number	:	954-605-1809
Fax Number	:

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

Provider Enumeration Date	:	11/11/2016
Last Update Date	:	01/09/2026

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