Provider Demographics
NPI:1992931323
Name:ENGLISH, MOLLY KATHLEEN (MHP)
Entity type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:KATHLEEN
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:MHP
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:
Other - Last Name:ABELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MHP
Mailing Address - Street 1:408 E VINE ST
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:IL
Mailing Address - Zip Code:62995-1612
Mailing Address - Country:US
Mailing Address - Phone:618-658-2611
Mailing Address - Fax:618-658-2501
Practice Address - Street 1:408 E VINE ST
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:IL
Practice Address - Zip Code:62995-1612
Practice Address - Country:US
Practice Address - Phone:618-658-2611
Practice Address - Fax:618-658-2501
Is Sole Proprietor?:No
Enumeration Date:2009-05-29
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health