| Doctor Name: | MOLLY BOVE |
| NPI Number: | 1053706457 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | LH60487878 |
| Business Practice Address: | 1831 S Barker Rd Greenacres, WA - 990169762 |
| Business Phone Number: | 5092097269 |
| Business Fax Number: | |
| Mailing Address: | 3709 S Conklin Rd, GREENACRES |
| State: | WA |
| Postal Code: | 990169712 |
| Phone Number: | 5099512927 |
| Fax Number: | 5099222586 |
| NPI Enumeration Date: | 04/02/2015 |
| NPI Last Update Date: | 04/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH60487878 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |