Individual
MOLLY ONTIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCMH
Contact information
Practice address
100 W ROCKLAND RD # 1-K, MONTCHANIN, DE 19710-2006
(805) 714-6274
(302) 442-7235
Mailing address
100 W ROCKLAND RD STE 1-K, MONTCHANIN, DE 19710-2006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0011059
DE
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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