Mollie Countryman

NPI #1194348334 in Fairborn, Ohio

Provider Information

NPI Number
1194348334
Entity Type
Individual
Name
Mollie Countryman
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
May 22, 2020
Last Updated
May 25, 2021

Practice Location

Address
323 N BROAD ST
State
Ohio
ZIP Code
45324-4934
Phone
(937) 318-8103

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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