De Molina, Michael W

De Molina, Michael W is an sole proprietor health care provider with primary practice located at 401 W International Airport Rd Ste 17 , Anchorage AK 99518-1168. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. De Molina, Michael W can be contacted via phone (907) 770-3656.

Contact Information

Primary practice address
401 W International Airport Rd Ste 17 Anchorage AK 99518-1168
Phone: (907) 770-3656
Fax: (907) 562-4503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 420 Alaska
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 420 Alaska
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 420 Alaska

Profile Details

NPI number 1164472924
LBN Legal business name De Molina, Michael W
Credentials MS, LPC, CDCS, MAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Oct 17th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164472924 NPPES
Alaska MEDICAID MH3681

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