Individual
MRS. KRISTEN RENEE MOLLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4202 SW LEE BLVD, LAWTON, OK 73505-8300
(580) 730-0482
Mailing address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
(580) 730-0482
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7676
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/31/2020
Last updated
04/05/2021
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