NPI | 1760808570 |
---|---|
Other Name | MARY MOLLY BRIDGES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 6409) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 6409) |
101YM0800X Counselor, Mental Health (Licence: SC 6409) | |
101YM0800X Counselor, Mental Health (Licence: LPC008437) | |
101YP2500X Counselor, Professional (Licence: GA LPC008437) | |
Enumeration Date | 2014-03-17 |
Last Update Date | 2023-10-06 |