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Individual
MOLLY SIMMONS
Active
Individual
MOLLY SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC000903
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103063615 0001
—
PA
01
—
PC000903
PA BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
PA
Enumeration date
05/17/2010
Last updated
06/01/2016
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