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Individual
MOLLY TEEGARDEN
Active
Individual
MOLLY TEEGARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.175309
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCII.161773
OH
101YP2500X
Professional Counselor
Primary
C.2103527
OH
390200000X
Student in an Organized Health Care Education/Training Program
C.2002575-TRNE
OH
Other
Enumeration date
08/11/2020
Last updated
03/11/2022
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