Ticknor, Molly J

Ticknor, Molly J is an individual health care provider with primary practice located at 18600 E 37Th Ter S , Independence MO 64057-1707. 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 / Professional is her primary health care specialty. Ticknor, Molly J can be contacted via phone (816) 659-9383.

Contact Information

Primary practice address
18600 E 37Th Ter S Independence MO 64057-1707
Phone: (816) 659-9383
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2004014995 Missouri
Behavioral Health & Social Service Providers / Professional 101YP2500X 2004014955 Missouri

Profile Details

NPI number 1821195850
LBN Legal business name Ticknor, Molly J
Credentials MA, ATR, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 26th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821195850 NPPES
Missouri MEDICAID 499302701

Popular Providers