Individual
MR. DWAYNE EDWARD MOLLISON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED, LPCA
Contact information
Practice address
4000 N DIXIE HWY STE 6, SUITE 6, ELIZABETHTOWN, KY 42701-4650
(270) 889-1665
Mailing address
4000 N DIXIE HWY STE 6, SUITE 6, ELIZABETHTOWN, KY 42701-4650
(270) 889-1665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1642
KY
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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