Individual
MOLLY WRENCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E 15TH ST, PANAMA CITY, FL 32405-5400
(630) 639-0238
Mailing address
2520 E 37TH PLZ, PANAMA CITY, FL 32405-6600
(630) 639-0238
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
000000
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942279435
—
IL
Enumeration date
10/30/2019
Last updated
03/03/2025
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