Nina R Mollicone, LCPC-C
Counselor, Professional in Rumford, ME. Individual provider (NPI-1).
NPI number1184792806
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1184792806
- Entity type
- Individual (NPI-1)
- Name
- Nina R Mollicone
- Credential
- LCPC-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | XL2189 | ME | Yes |
Practice location
49 Congress StRumford, ME 04276-2014
Phone 207-364-7981
Mailing address
83 Grandview RdBethel, ME 04217-5538
Phone 207-824-2736
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