Individual
MRS. MOLLIE BARTHOLOMEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
201 E BIRCH AVE STE 10C, FLAGSTAFF, AZ 86001-5215
(928) 235-4509
Mailing address
201 E BIRCH AVE STE 10C, FLAGSTAFF, AZ 86001-5215
(928) 235-4509
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-21709
AZ
101YM0800X
Mental Health Counselor
LAC-7501T
AZ
Other
Enumeration date
09/22/2022
Last updated
02/23/2023
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