Doctor Name: | CESAR L MOLINA SISIMIT |
NPI Number: | 1164757332 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | CG60114248 |
Business Practice Address: | 10217 125th Street Ct E Court E, 2nd Floor Puyallup, WA - 983742761 |
Business Phone Number: | 2538644770 |
Business Fax Number: | 2538644771 |
Mailing Address: | Po Box 34703, SEATTLE |
State: | WA |
Postal Code: | 981241703 |
Phone Number: | 2067643335 |
Fax Number: | 2067640489 |
NPI Enumeration Date: | 10/06/2009 |
NPI Last Update Date: | 10/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | CG60114248 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |