person
Miss Molly J Ticknor, MA,ATR,LPC
Professional Counselor in Independence, Missouri
NPI 1821195850

Molly J Ticknor is a Professional Counselor based in Independence, MO and is specialized in Professional. Molly J Ticknor practices in Independence, MO and has the professional credentials of MA,ATR,LPC. The NPI Number for Molly J Ticknor is 1821195850 and holds a License No. 2004014995 (Missouri).

The current practice location address for Molly J Ticknor is 18600 E 37Th Ter S, Independence, MO and can be reached out via phone at 816-659-9383. You can also correspond with Molly J Ticknor through the mailing address at 18600 E 37TH TER S, INDEPENDENCE, MO - 64057-1707 (mailing address contact number: 816-659-9383).

Location: 18600 E 37Th Ter S, Independence, MO, 64057-1707
person
Provider Profile Details
NPI Number
1821195850
Provider Name
Molly J Ticknor
Credential
MA,ATR,LPC
Provider Entity Type
Individual
Gender
Female
Address
18600 E 37Th Ter S, Independence, MO, 64057-1707
Phone Number
816-659-9383
Fax Number
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
499302701 05 MO
institution
Provider Business Practice Location Address Details
Address
18600 E 37Th Ter S
City
State
Zip
64057-1707
Phone Number
816-659-9383
Fax Number
person
Provider Business Mailing Address Details
Address
18600 E 37Th Ter S
City
State
Zip
64057-1707
Phone Number
816-659-9383
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2004014955 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2004014995 (Missouri)
Definition
Definition to come...
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