Provider Demographics
NPI:1164757332
Name:MOLINA SISIMIT, CESAR L (LMFTA)
Entity Type:Individual
Prefix:
First Name:CESAR
Middle Name:L
Last Name:MOLINA SISIMIT
Suffix:
Gender:M
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4810 POINT FOSDICK DR # 420
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1711
Mailing Address - Country:US
Mailing Address - Phone:253-961-5735
Mailing Address - Fax:253-248-0149
Practice Address - Street 1:5900 SOUNDVIEW DR APT 604
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-2006
Practice Address - Country:US
Practice Address - Phone:253-961-5735
Practice Address - Fax:253-248-0149
Is Sole Proprietor?:No
Enumeration Date:2009-10-06
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG61092787106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist