Individual
VIVIANA MOLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5463 NASHVILLE HWY, DEER LODGE, TN 37726-3212
(631) 764-2168
Mailing address
5463 NASHVILLE HWY, DEER LODGE, TN 37726-3212
(631) 764-2168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/09/2013
Last updated
04/18/2025
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