Provider Demographics
NPI:1154161172
Name:MCNEAL, MOLLY LEANDRA (AMFT)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:LEANDRA
Last Name:MCNEAL
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6152
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95927-6152
Mailing Address - Country:US
Mailing Address - Phone:530-433-1585
Mailing Address - Fax:
Practice Address - Street 1:341 BROADWAY ST STE 223
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-5355
Practice Address - Country:US
Practice Address - Phone:530-433-1585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA146518101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor