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Individual

MOLLY KINSER DOUGLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
8435 UNIVERSITY BLVD, SUITE 8, CLIVE, IA 50325-1035
(515) 468-0364
(888) 273-3093
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001175
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1821420357
BCBS
Enumeration date
11/12/2009
Last updated
08/28/2015
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