Individual
PATRICK BRYAN MOLLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1400 STATE ROAD F, SUITE 102, WAYNESVILLE, MO 65583-0000
(573) 528-7792
(573) 774-6992
Mailing address
25945 SANDLEWOOD LN, PO BOX 175, LAQUEY, MO 65534-7615
(573) 528-7792
(573) 774-6992
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2004024725
MO
Other
Enumeration date
01/10/2007
Last updated
07/09/2007
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