Individual provider · Type 1 NPI

Kacey Lynn Molina

Addiction (Substance Use Disorder) Counselor · Roseburg, OR

NPI number 1356059463 Active

Practice location

621 W Madrone St
Roseburg, OR 97470-3090

Call (541) 672-2691 Map

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Peer Specialist 175T00000XNone listed

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About NPI 1356059463

Kacey Lynn Molina's National Provider Identifier is 1356059463, issued on Nov 8, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseburg, OR. The record was last updated on Jul 28, 2026.