EVARISTUS PENDA

Counselor - Professional

Active Individual
NPI: 1831575315

Practice Address

1105 SW 30TH CT
Moore, OK 73160

Phone: (405) 676-5114

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes 10061 (OK)
Case Manager/Care Coordinator 171M00000X No -
Adult Companion 372600000X No -
Nurse's Aide 376K00000X No -

Frequently Asked Questions

NPI 1831575315 is the National Provider Identifier for EVARISTUS PENDA, a Counselor - Professional provider located in Moore, OK. This NPI was enumerated on August 6, 2015.
EVARISTUS PENDA practices at 1105 SW 30TH CT, Moore, OK 73160.

Quick Facts

NPI
1831575315
Type
Individual
Enumerated
Aug 6, 2015
Last Updated
Dec 12, 2025

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