MEDICARE: MS. MOLLY ALISON MARIE HOWARD MA, LMFT

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
1	106H00000X	Marriage & Family Therapist	80834	CA
2	106H00000X	Marriage & Family Therapist	3901	MN

General Provider Information

NPI Number	:	1407126311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MOLLY ALISON MARIE HOWARD MA, LMFT

Provider Business Mailing Address
First Line	:	7600 PARKLAWN AVE STE 380
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55435-5156
Country	:	US
Telephone Number	:	612-203-2961
Fax Number	:

Provider Business Practice Location Address
First Line	:	7600 PARKLAWN AVE STE 380
Second Line	:
City	:	EDINA
State	:	MN
Zip	:	55435-5156
Country	:	US
Telephone Number	:	612-203-2961
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2012
Last Update Date	:	09/26/2019

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