Most Relevant Information
Provider Data
| NPI Number: | 1003197153 |
| Provider Name: | MARAH LEIGH PENSE LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/02/2011 |
| Last Updated: | 10/17/2024 |
Provider Practice Location
2448 E 81ST ST
SUITE 5125
TULSA
OK
741374250
Practice Location Phone/Fax
| Phone: | 9183927875 |
| Fax: |
Provider Mailing Location
201 MUNSEL CREEK LOOP
FLORENCE
OR
974399235
Provider Mailing Phone/Fax
| Phone: | 9189841530 |
| Fax: |