Molholm, Kathleen D

Molholm, Kathleen D is an individual health care provider with primary practice located at 601 Sea Duck Dr , Daytona Beach FL 32119-1375. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Molholm, Kathleen D can be contacted via phone (308) 379-0927.

Contact Information

Primary practice address
601 Sea Duck Dr Daytona Beach FL 32119-1375
Phone: (308) 379-0927
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3478 Nebraska
Behavioral Health & Social Service Providers / Professional 101YP2500X 1747 Nebraska
Behavioral Health & Social Service Providers / Professional 101YP2500X 256 Missouri
Behavioral Health & Social Service Providers / Professional 101YP2500X 16 Colorado
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1099 Nebraska

Profile Details

NPI number 1881886315
LBN Legal business name Molholm, Kathleen D
Credentials LIMHP, LMHP; LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2007
Last updated Mar 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881886315 NPPES
Nebraska MEDICAID 47077467428
Nebraska MEDICAID 10025805700

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