Individual
CHRISTOPHER MOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 S CACHE ST, JACKSON, WY 83001-8693
(307) 733-7946
Mailing address
PO BOX 2631, JACKSON, WY 83001-2631
(307) 733-7946
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW436
WY
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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