Individual
MRS. MOLLIE RENAYE CROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
5446 N ACADEMY BLVD STE 205, COLORADO SPRINGS, CO 80918-3669
(719) 598-5555
Mailing address
5446 N ACADEMY BLVD STE 205, COLORADO SPRINGS, CO 80918-3669
(719) 598-5555
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64510
CO
106S00000X
Behavior Technician
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—
Other
Enumeration date
09/05/2019
Last updated
03/08/2023
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