Provider Demographics
NPI:1336957737
Name:RAUTERKUS, MOLLY (LMFT)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:RAUTERKUS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:
Other - Last Name:RAUTERKUS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:3163 INOUYE ST
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-1124
Mailing Address - Country:US
Mailing Address - Phone:808-482-4250
Mailing Address - Fax:
Practice Address - Street 1:3163 INOUYE ST
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1124
Practice Address - Country:US
Practice Address - Phone:808-482-4250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-18
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT-950106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist