Individual
NINA R MOLLICONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
49 CONGRESS ST, RUMFORD, ME 04276-2014
(207) 364-7981
Mailing address
83 GRANDVIEW RD, BETHEL, ME 04217-5538
(207) 824-2736
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL2189
ME
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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