Individual
MOLLY MCKELFRESH DAYWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-5711
Mailing address
5734 W VINCA LN, ELLETTSVILLE, IN 47429-8204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003062A
IN
Other
Enumeration date
06/20/2017
Last updated
07/06/2021
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