| Doctor Name: | SEBASTIAN MOLFA |
| NPI Number: | 1003211350 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | MC60418527 |
| Business Practice Address: | 6926 Ne Fourth Plain Blvd Vancouver, WA - 986617369 |
| Business Phone Number: | 3607373532 |
| Business Fax Number: | 3609933047 |
| Mailing Address: | 6926 Ne Fourth Plain Blvd, VANCOUVER |
| State: | WA |
| Postal Code: | 986617369 |
| Phone Number: | 3609933000 |
| Fax Number: | 3609933047 |
| NPI Enumeration Date: | 10/29/2014 |
| NPI Last Update Date: | 09/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MC60418527 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |