Provider Demographics
NPI:1245462381
Name:MOLLER, ELIZABETH PEARL (BA)
Entity type:Individual
Prefix:MISS
First Name:ELIZABETH
Middle Name:PEARL
Last Name:MOLLER
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
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Mailing Address - Street 1:2550 FLORAL AVE STE 30
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973-9143
Mailing Address - Country:US
Mailing Address - Phone:530-893-4784
Mailing Address - Fax:530-893-6144
Practice Address - Street 1:2550 FLORAL AVE STE 30
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-9143
Practice Address - Country:US
Practice Address - Phone:530-893-4784
Practice Address - Fax:530-893-6144
Is Sole Proprietor?:No
Enumeration Date:2009-08-21
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health