Provider Demographics
NPI:1841513041
Name:RANNS, MOLLY KATHLEEN (LPC, CAADC)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:KATHLEEN
Last Name:RANNS
Suffix:
Gender:F
Credentials:LPC, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2355 CLUB MERIDIAN DR
Mailing Address - Street 2:APT C7
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-4540
Mailing Address - Country:US
Mailing Address - Phone:517-204-3280
Mailing Address - Fax:
Practice Address - Street 1:4660 MARSH RD
Practice Address - Street 2:
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-2143
Practice Address - Country:US
Practice Address - Phone:517-204-3280
Practice Address - Fax:517-347-7892
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-03
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401011556101YP2500X
MIC-02505101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)