Individual provider · Type 1 NPI

Myrta Ivis Molina

Professional Counselor · Gaithersburg, MD

NPI number 1992411201 Active

Practice location

610 E Diamond Ave Ste 100A
Gaithersburg, MD 20877-5321

Mailing address

18717 Calypso Pl
Gaithersburg, MD 20879-1552

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLGP10535 (MD)

Professional Counselor: Definition to come...

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About NPI 1992411201

Myrta Ivis Molina's National Provider Identifier is 1992411201, issued on Jan 30, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gaithersburg, MD. The record was last updated on Jan 30, 2023.