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NPI Code Detail

MEDICARE: MRS. VERA L MOLINA MA, LMHC

MEDICARE: MRS. VERA L MOLINA MA, 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
1101YP2500XProfessional CounselorCMH0176011NM

General Provider Information

NPI Number : 1962884106
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VERA L MOLINA MA, LMHC
Provider Business Mailing Address
First Line : 6409 SONRISA PL NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87113-2840
Country : US
Telephone Number : 505-480-1554
Fax Number :
Provider Business Practice Location Address
First Line : 3301 CANDELARIA RD NE STE B
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87107-1965
Country : US
Telephone Number : 505-273-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2015
Last Update Date : 03/07/2024

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