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NPI Code Detail

MEDICARE: MOLLY HALEBLIAN

MEDICARE: MOLLY HALEBLIAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor12294-125WI

General Provider Information

NPI Number : 1235087115
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY HALEBLIAN
Provider Business Mailing Address
First Line : 106 W SEEBOTH ST STE 101
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-4329
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 106 W SEEBOTH ST STE 101
Second Line :
City : MILWAUKEE
State : WI
Zip : 53204-4329
Country : US
Telephone Number : 414-378-5379
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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