Individual provider · Type 1 NPI

Mollie Countryman

Addiction (Substance Use Disorder) Counselor · Fairborn, OH

NPI number 1194348334 Active

Practice location

323 N Broad St
Fairborn, OH 45324-4934

Call (937) 318-8103 Map

Fax (937) 400-2347

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1194348334

Mollie Countryman's National Provider Identifier is 1194348334, issued on May 22, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairborn, OH. The record was last updated on May 25, 2021.