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Mollie Countryman
Addiction (Substance Use Disorder) Counselor in Fairborn, Ohio
NPI 1194348334

Mollie Countryman is an Addiction (Substance Use Disorder) Counselor based in Fairborn, OH and is specialized in Addiction (Substance Use Disorder). Mollie Countryman practices in Fairborn, OH. The NPI Number for Mollie Countryman is 1194348334 and holds a License No. (Ohio).

The current practice location address for Mollie Countryman is 323 N Broad St, Fairborn, OH and can be reached out via phone at 937-318-8103 and via fax at 937-400-2347.

Location: 323 N Broad St, Fairborn, OH, 45324-4934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194348334
Provider Name
Mollie Countryman
Credential
Provider Entity Type
Individual
Gender
Female
Address
323 N Broad St, Fairborn, OH, 45324-4934
Phone Number
937-318-8103
Fax Number
937-400-2347
Provider Enumeration Date
05/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
323 N Broad St
City
Fairborn
State
Ohio
Zip
45324-4934
Phone Number
937-318-8103
Fax Number
937-400-2347
person
Provider Business Mailing Address Details
Address
323 N Broad St
City
Fairborn
State
Ohio
Zip
45324-4934
Phone Number
937-318-8103
Fax Number
937-400-2347
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
()
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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