Individual
MOLLIE BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
915 N RACINE AVE APT 2SE, CHICAGO, IL 60642-0008
(206) 999-0482
Mailing address
915 N RACINE AVE APT 2SE, CHICAGO, IL 60642-0008
(206) 999-0482
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166001498
IL
Other
Enumeration date
10/18/2019
Last updated
04/12/2023
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