Individual
ANDREA MICHELLE MOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
921 W AVENUE J, SUITE C, LANCASTER, CA 93534-3443
(661) 265-8627
Mailing address
PO BOX 1373, CANYON COUNTRY, CA 91386-1373
(661) 776-5449
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
56702
CA
106H00000X
Marriage & Family Therapist
Primary
MFC52671
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
04/08/2008
Last updated
09/26/2023
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