Individual
MICHELLE MOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 S JONES BLVD, LAS VEGAS, NV 89107-2657
(404) 437-4157
Mailing address
212 S JONES BLVD, LAS VEGAS, NV 89107-2657
(404) 437-4157
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/05/2013
Last updated
06/03/2024
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