Evaristus Penda
Evaristus Penda is a Professional Counselor in Moore, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2015
- Specialties on file
- 4
Practice location Address checks out
1105 SW 30th CtMoore, OK 73160-2887
Phone: (405) 676-5114
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Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 10061 (OK) |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
| Adult Companion | Taxonomy 372600000X |
| Nurse's Aide | Taxonomy 376K00000X |
Record details
| NPI number | 1831575315 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 6, 2015 |
| Last updated in NPPES | December 12, 2025 |
| Certification date | December 12, 2025 |
| Mailing address | 9500 Sw 33rd St, Oklahoma City, OK 73179-1212 |
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