Provider Demographics
NPI:1932797115
Name:MCCUNE, MOLLY CHRISTINA (MBA, MA)
Entity Type:Individual
Prefix:MS
First Name:MOLLY
Middle Name:CHRISTINA
Last Name:MCCUNE
Suffix:
Gender:F
Credentials:MBA, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704C 13TH ST E STE 647
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-2981
Mailing Address - Country:US
Mailing Address - Phone:406-309-4619
Mailing Address - Fax:
Practice Address - Street 1:2 1ST ST E STE 1
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-4553
Practice Address - Country:US
Practice Address - Phone:406-309-4619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health