Individual
ALEXIS MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2550 W CLINTON AVE # RSYDP, FRESNO, CA 93705-4206
(559) 264-7521
Mailing address
2550 W CLINTON AVE, FRESNO, CA 93705-4201
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13982
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127598575
MENTAL HEALTH SYSTEMS
CA
Enumeration date
07/07/2016
Last updated
07/31/2024
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