Provider Demographics
NPI:1497428395
Name:PLAYER, MOLLIE (MHCA)
Entity Type:Individual
Prefix:
First Name:MOLLIE
Middle Name:
Last Name:PLAYER
Suffix:
Gender:F
Credentials:MHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 NE 50TH ST APT J
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-2962
Mailing Address - Country:US
Mailing Address - Phone:206-484-1856
Mailing Address - Fax:
Practice Address - Street 1:4001 NE 50TH ST APT J
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-2962
Practice Address - Country:US
Practice Address - Phone:206-484-1856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61149994101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health