Individual
RICHARD JOSE MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
633 UMATILLA BLVD, UMATILLA, FL 32784-8418
(352) 669-8000
Mailing address
1559 WARRINGTON ST, WINTER SPRINGS, FL 32708-6124
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
IMH9660
—
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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