Doctor Name: | MS. MOLLY DELFINE |
NPI Number: | 1124461603 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LLPC |
License Number: | |
Business Practice Address: | 175 N Groesbeck Hwy Mount Clemens, MI - 480431562 |
Business Phone Number: | 5866270024 |
Business Fax Number: | 5866270027 |
Mailing Address: | 175 N Groesbeck Hwy, MOUNT CLEMENS |
State: | MI |
Postal Code: | 480431562 |
Phone Number: | 5866270024 |
Fax Number: | 5866270027 |
NPI Enumeration Date: | 04/15/2013 |
NPI Last Update Date: | 04/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |