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Organization
LUMITOT
Active
Organization
LUMITOT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN LISSETTE MOLANO PSY.D. (CEO)
(949) 439-0195
Entity
Organization
Contact information
Practice address
198 CAPRICORN, IRVINE, CA 92618-1186
(949) 439-0195
Mailing address
198 CAPRICORN, IRVINE, CA 92618-1186
(949) 439-0195
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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