Individual
MRS. MOLLY KRISTEN COLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
2201 NANTUCKET DR, JOHNSON CITY, TN 37604-3365
(423) 817-5566
Mailing address
2201 NANTUCKET DR, JOHNSON CITY, TN 37604-3365
(423) 817-5566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0000005447
TN
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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