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Individual
JESSE MOLINA JR.
Active
Individual
JESSE MOLINA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPSS, CPRS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
175T00000X
Peer Specialist
—
MI
Other
Enumeration date
04/19/2023
Last updated
08/15/2023
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