Provider Demographics
NPI:1407126311
Name:HOWARD, MOLLY ALISON MARIE (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:MOLLY
Middle Name:ALISON MARIE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:MARIE
Other - Last Name:HOWARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7600 PARKLAWN AVE STE 380
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-5156
Mailing Address - Country:US
Mailing Address - Phone:612-203-2961
Mailing Address - Fax:
Practice Address - Street 1:7600 PARKLAWN AVE STE 380
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-5156
Practice Address - Country:US
Practice Address - Phone:612-203-2961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-09
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA80834106H00000X
MN3901106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist