Provider Demographics
NPI:1225277502
Name:MOLINA, SABRINA SOTO (LPC, CEAP, NCC, LMHC)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:SOTO
Last Name:MOLINA
Suffix:
Gender:F
Credentials:LPC, CEAP, NCC, LMHC
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:
Other - Last Name:MOLINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, CEAP, NCC, LMHC
Mailing Address - Street 1:3560 CARDINAL POINT DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-9235
Mailing Address - Country:US
Mailing Address - Phone:904-737-7242
Mailing Address - Fax:904-737-7254
Practice Address - Street 1:3560 CARDINAL POINT DR
Practice Address - Street 2:SUITE 204
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-9235
Practice Address - Country:US
Practice Address - Phone:904-737-7242
Practice Address - Fax:904-737-7254
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-11
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003129101Y00000X
FLPMH1286101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health