Individual
BLANCANDREA QUETZALI MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2210 SMITH LN, KELSEYVILLE, CA 95451-9162
(808) 457-8257
Mailing address
2210 SMITH LN, KELSEYVILLE, CA 95451-9162
(808) 457-8257
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC15659
CA
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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