Individual
MRS. LYDIA MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
49 E THOMAS RD STE 108, PHOENIX, AZ 85012-3104
(602) 235-9237
(602) 222-6602
Mailing address
49 E THOMAS RD STE 108, PHOENIX, AZ 85012-3104
(602) 235-9237
(602) 222-6602
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
BH-2630
AZ
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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