Individual
MOLLIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
719 DISHMAN LANE EXT APT C, BOWLING GREEN, KY 42104-4072
(270) 202-8669
Mailing address
719 DISHMAN LANE EXT, BOWLING GREEN, KY 42104-4072
(270) 202-8669
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
292088
KY
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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