Individual
MOLLIE PLEETANINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1604 SW CLAY ST, APT 424, PORTLAND, OR 97201-8501
(610) 451-6121
Mailing address
1604 SW CLAY ST, APT 424, PORTLAND, OR 97201-8501
(610) 451-6121
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6630
NC
Other
Enumeration date
07/28/2015
Last updated
07/30/2025
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