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Individual

CARLOS G MORA MOLINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
995 POTRERO AVENUE, BUILDING 80 2ND FLOOR, SAN FRANCISCO, CA 94110
(628) 206-3008
(628) 206-3822
Mailing address
165 CAPP STREET, SAN FRANCISCO, CA 94110
(415) 282-6209
(415) 241-9758

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APCC1190
CA
101YM0800X
Mental Health Counselor
PCCI, 1190
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1190
PCCI
CA
Enumeration date
04/14/2016
Last updated
08/13/2024
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