Individual
MOLLY STACKHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3614 11TH ST, CHESAPEAKE BEACH, MD 20732-3130
(240) 523-3497
Mailing address
3614 11TH ST, CHESAPEAKE BEACH, MD 20732-3130
(240) 523-3497
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC15842
MD
101YM0800X
Mental Health Counselor
PC016613
PA
103T00000X
Psychologist
A0538
MD
103TS0200X
School Psychologist
36187
MD
Other
Enumeration date
04/26/2021
Last updated
11/15/2024
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