Individual
MS. MOLLY CROSBY PELLETTIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.A.S.A.C.
Contact information
Practice address
10918 ELM AVE, KANSAS CITY, MO 64134-4108
(816) 767-4317
(816) 767-4114
Mailing address
9815 NEWTON AVE, KANSAS CITY, MO 64134-1355
(816) 767-9827
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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