Provider Demographics
NPI:1043947427
Name:PRESCOTT, MOLLY ALICE
Entity Type:Individual
Prefix:MS
First Name:MOLLY
Middle Name:ALICE
Last Name:PRESCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 E D ST STE 5
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98901-2300
Mailing Address - Country:US
Mailing Address - Phone:509-853-1300
Mailing Address - Fax:
Practice Address - Street 1:303 E D ST STE 5
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98901-2300
Practice Address - Country:US
Practice Address - Phone:509-853-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-04
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor