Provider Demographics
NPI:1407054273
Name:DHUET, MOLLY KATHLEEN (MFT, CDS)
Entity Type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:KATHLEEN
Last Name:DHUET
Suffix:
Gender:F
Credentials:MFT, CDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:766 COLORADO BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-1702
Mailing Address - Country:US
Mailing Address - Phone:323-255-0400
Mailing Address - Fax:323-255-0177
Practice Address - Street 1:766 COLORADO BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041-1702
Practice Address - Country:US
Practice Address - Phone:323-255-0400
Practice Address - Fax:323-255-0177
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46148106H00000X
CADO706280833101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)