Provider Demographics
NPI:1962234831
Name:MOLINA SIQUEIRA, VALQUIRIA
Entity type:Individual
Prefix:
First Name:VALQUIRIA
Middle Name:
Last Name:MOLINA SIQUEIRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15200 NE 16TH PL APT 24
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-4434
Mailing Address - Country:US
Mailing Address - Phone:206-453-8082
Mailing Address - Fax:
Practice Address - Street 1:155 NE 100TH ST STE 125
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-8010
Practice Address - Country:US
Practice Address - Phone:206-636-1982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61484342101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health