Basic Information
| Provider Information | |||||||||
| NPI: | 1881756625 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MOLINA URIBES | ||||||||
| FirstName: | MARCELA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LMFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13980 BLOSSOM HILL RD | ||||||||
| Address2: | |||||||||
| City: | LOS GATOS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 950325121 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4082641021 | ||||||||
| FaxNumber: | 4082645894 | ||||||||
| Practice Location | |||||||||
| Address1: | 160 E VIRGINIA ST | ||||||||
| Address2: | #280 | ||||||||
| City: | SAN JOSE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 95112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4082876200 | ||||||||
| FaxNumber: | 4089981535 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/15/2006 | ||||||||
| LastUpdateDate: | 06/21/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | MFC 48232 | CA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.