Provider Demographics
NPI:1750688057
Name:MOLARO, ELIZABETH ANN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANN
Last Name:MOLARO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 HANOVER LN STE D
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-7267
Mailing Address - Country:US
Mailing Address - Phone:530-518-3838
Mailing Address - Fax:530-309-0032
Practice Address - Street 1:28 HANOVER LN STE D
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-7267
Practice Address - Country:US
Practice Address - Phone:530-518-3838
Practice Address - Fax:530-309-0032
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-22
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83990101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1750688057OtherNPI