Provider Information for 1760002927
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ANGELA MARIA MOLINA LMHC
Sex: Female
NPI: 1760002927
Last Updated: 2021-08-31
Certification Date: 2021-06-08
Certification Date: 2021-06-08
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1760002927 | ||||||||
| Enumeration Date | 2020-04-17 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 11932 FAIRWAY LAKES DR FORT MYERS, FL 33913-8337 United States Phone: 239-237-2801 | Fax: | ||||||||
| Primary Practice Address | 11932 FAIRWAY LAKES DR FORT MYERS, FL 33913-8337 United States Phone: 239-237-2801 | Fax: | ||||||||
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