Davis, Molly Gretchen
Davis, Molly Gretchen is an individual health care provider with primary practice located at 198 W Marydale Ave , Soldotna AK 99669-7501. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Davis, Molly Gretchen can be contacted via phone (907) 741-1683.Contact Information
Primary practice address
198 W Marydale Ave
Soldotna AK 99669-7501
Phone: (907) 741-1683
Fax: (907) 741-1683
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 109623 | Alaska |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 109623 | Alaska |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 109623 | Alaska |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 109623 | Alaska |
Profile Details
NPI number | 1023547882 |
---|---|
LBN Legal business name | Davis, Molly Gretchen |
Credentials | LPC, MAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2017 |
Last updated | Jun 6th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023547882 | NPPES |
Alaska | Other | 109623 | LICENSED PROFESSIONAL COUNSELOR |
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