MICHAEL W DE MOLINA MS LPC CDCS MAC NPI 1164472924

NPI Information

NPI: 1164472924
Provider Name: MICHAEL W DE MOLINA, MS, LPC, CDCS, MAC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
401 W INTERNATIONAL AIRPORT RD STE 17
ANCHORAGE, AK
ZIP 99518
Phone: (907) 770-3656
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Michael W De Molina, MS, LPC, CDCS, MAC is a mental health counselor in Anchorage, AK. Michael W De Molina, MS, LPC, CDCS, MAC NPI is 1164472924. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

401 W INTERNATIONAL AIRPORT RD STE 17
ANCHORAGE, AK
ZIP 99518-168
Phone: (907) 770-3656
Fax: (907) 562-4503

The enumeration date for this NPI number is 5/11/2006 and was last updated on 2/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	420	ALASKA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	420	ALASKA	No
3	101YM0800X	Counselor	Mental Health	420	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MH3681	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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