Individual
MOLLY M LUSSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-6975
(843) 572-8135
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-6975
(843) 572-8135
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4479
SC
Other
Enumeration date
03/04/2011
Last updated
07/11/2016
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