| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MOLLY GUIDETTE | 1972734879 | 2023-03-12 |
Molly Guidette is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1972734879. Registration indicates Molly Guidette is a provider of services with a specialization in Specialist (Other Service Providers, Specialist) (All Other Specialties & Provider Types, ) (Specialist, Other Service Providers) (Behavioral Health & Social Service Providers, Marriage & Family Therapist) (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Molly Guidette QMHP |
| Practice Office Address | 1997 GARDEN AVE EUGENE, OR US |
| Practice Office Telephone | 5413445978 |
| Mailing Address | 1525 TAYLOR ST EUGENE, OR 974023810 US |
| Business Telephone | 5415147680 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 132 E Broadway Suite 730 | Eugene, OR 974013143 | 5415147680 |
| Code | Practice | License No State |
|---|---|---|
| 174400000X | Specialist Other Service Providers Specialist All Other Specialties & Provider Types Specialist Other Service Providers | 12788
OR |
| 106H00000X PRIMARY | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers |