Provider Demographics
NPI:1780457911
Name:MOLINA, BRITNEY CYPRIAN
Entity type:Individual
Prefix:
First Name:BRITNEY
Middle Name:CYPRIAN
Last Name:MOLINA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BRITNEY
Other - Middle Name:RACQUEL
Other - Last Name:CYPRIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 26372
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98093-3372
Mailing Address - Country:US
Mailing Address - Phone:206-355-0950
Mailing Address - Fax:
Practice Address - Street 1:3710 SW 338TH PL
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98023-2983
Practice Address - Country:US
Practice Address - Phone:206-355-0950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-31
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist