Joy Dawn Molina, LCMHC, LCAS

Individual provider Active NPI Professional Counselor · Old Fort, NC

NPI 1205355997 · NPPES record last updated Jan 4, 2024

Key facts

NPI
1205355997
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
13279 (NC)
Practice address
274 Catawba Ave Apt D
Old Fort, NC 28762-8626
Phone
(828) 357-7425
NPI assigned
Sep 13, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LCAS-23529NCMDAddiction (Substance Use Disorder) Counselor
13279NCMDAudiologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 13279 NC Yes
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-23529 NC

Addresses

Primary practice location

274 Catawba Ave Apt D
Old Fort, NC 28762-8626

Mailing address

599 Watercrest Dr
Marion, NC 28752-8694
Phone (828) 357-7425

Other providers in Old Fort, NC

All providers in Old Fort, NC · Professional Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.