Provider Demographics
NPI:1447950019
Name:PACIOREK, MOLLY (LMHC)
Entity type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:
Last Name:PACIOREK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8495 TORCHWOOD LN
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:NY
Mailing Address - Zip Code:13039-9220
Mailing Address - Country:US
Mailing Address - Phone:315-532-7518
Mailing Address - Fax:
Practice Address - Street 1:6221 NY-31
Practice Address - Street 2:SUITE 110
Practice Address - City:CICERO
Practice Address - State:NY
Practice Address - Zip Code:13039-1303
Practice Address - Country:US
Practice Address - Phone:315-699-5123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011982101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health