Doctor Name: | MOLLY MARIE DUNCAN |
NPI Number: | 1215316757 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | IMFT |
License Number: | IMF78118 |
Business Practice Address: | 16275 Monterey St Morgan Hill, CA - 950375466 |
Business Phone Number: | 4087785120 |
Business Fax Number: | |
Mailing Address: | 332 Rio Del Mar Blvd, APTOS |
State: | CA |
Postal Code: | 950035022 |
Phone Number: | 8318186277 |
Fax Number: | |
NPI Enumeration Date: | 05/28/2015 |
NPI Last Update Date: | 05/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | IMF78118 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |