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Individual

KIRA K MOLINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LAC

Contact information

Practice address
61 S PENDLETON DR, PUEBLO WEST, CO 81007-2024
(719) 821-9605
Mailing address
61 S PENDLETON DR, PUEBLO WEST, CO 81007-2024
(719) 821-9605

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001261
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09926200
CO

Other

Enumeration date
08/24/2017
Last updated
04/22/2023
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