Provider Demographics
NPI:1619449063
Name:MOLINSKI, CAREY ANN (LPC)
Entity Type:Individual
Prefix:
First Name:CAREY
Middle Name:ANN
Last Name:MOLINSKI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1427 PROVINCE TER STE B
Mailing Address - Street 2:
Mailing Address - City:MENASHA
Mailing Address - State:WI
Mailing Address - Zip Code:54952-7016
Mailing Address - Country:US
Mailing Address - Phone:920-738-9999
Mailing Address - Fax:920-268-1921
Practice Address - Street 1:1427 PROVINCE TER STE B
Practice Address - Street 2:
Practice Address - City:MENASHA
Practice Address - State:WI
Practice Address - Zip Code:54952-7016
Practice Address - Country:US
Practice Address - Phone:920-738-9999
Practice Address - Fax:920-268-1921
Is Sole Proprietor?:No
Enumeration Date:2018-12-26
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6443-125101YP2500X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor