Individual
JESSE MOLINA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPSS, CPRS
Contact information
Practice address
32715 DORSEY ST, WESTLAND, MI 48186-4755
(734) 641-1141
Mailing address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
MI
Other
Enumeration date
04/19/2023
Last updated
08/15/2023
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