Provider Demographics
NPI:1134528730
Name:CHRISTIAN, MOLLY (MA)
Entity type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45-019 MAHALANI CIR
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-2760
Mailing Address - Country:US
Mailing Address - Phone:303-870-0143
Mailing Address - Fax:
Practice Address - Street 1:45-019 MAHALANI CIR
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-2760
Practice Address - Country:US
Practice Address - Phone:303-870-0143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health