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Individual
MICHAEL W DE MOLINA
Active
Individual
MICHAEL W DE MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC, CDCS, MAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
420
AK
101YM0800X
Mental Health Counselor
Primary
420
AK
101YP2500X
Professional Counselor
420
AK
Other
Enumeration date
05/11/2006
Last updated
10/17/2023
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