# MOLLY STACKHOUSE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1679155030
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LC15842 | MD | Yes |
| 101YM0800X | Mental Health Counselor | PC016613 | PA | — |
| 103T00000X | Psychologist | A0538 | MD | — |
| 103TS0200X | School Psychologist | 36187 | MD | — |

## Other

- **Enumeration date:** 04/26/2021
- **Last updated:** 11/15/2024