Individual
MOLLIE HAUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 28TH AVE S, MOORHEAD, MN 56560-7926
(701) 234-3200
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
02834
MN
101YM0800X
Mental Health Counselor
1289-6-1-23A
ND
101YP2500X
Professional Counselor
Primary
2834
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588993091
—
MN
Enumeration date
05/20/2021
Last updated
11/20/2023
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