Doctor Name: | JOY R MOLCYK |
NPI Number: | 1306032768 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS LADC |
License Number: | 676 |
Business Practice Address: | 1012 West Third Mccook, NE - 69001 |
Business Phone Number: | 3083452770 |
Business Fax Number: | 3083452557 |
Mailing Address: | Po Box 818, 1012 West Third MCCOOK |
State: | NE |
Postal Code: | 69001 |
Phone Number: | 3083452770 |
Fax Number: | 3083452557 |
NPI Enumeration Date: | 09/19/2007 |
NPI Last Update Date: | 09/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 676 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |