Lisa D Molina

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Rawlins, WY

NPI 1487835666 · NPPES record last updated Nov 16, 2007

Key facts

NPI
1487835666
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
721 W Maple St
Rawlins, WY 82301-5447
Phone
(307) 324-7156
Fax
(307) 328-1651
NPI assigned
Nov 16, 2007
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

721 W Maple St
Rawlins, WY 82301-5447

Mailing address

721 W Maple St
Rawlins, WY 82301-5447
Phone (307) 324-7156

Other names

  • Ms. Lisa D Parks Former name

Other providers in Rawlins, WY

All providers in Rawlins, WY · Addiction (Substance Use Disorder) Counselor in Wyoming

Sources for this page

Verify at the official NPI Registry.