Provider Demographics
NPI:1427419902
Name:NORTON, MOLLY ELIZABETH BUSH (LMHC, LPC)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:ELIZABETH BUSH
Last Name:NORTON
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 SILVERMINE AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-1642
Mailing Address - Country:US
Mailing Address - Phone:203-286-6076
Mailing Address - Fax:
Practice Address - Street 1:221 SILVERMINE AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-1642
Practice Address - Country:US
Practice Address - Phone:203-286-6076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-11
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2918101YM0800X
NY006482101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health