Individual provider · Type 1 NPI

Evaristus Penda

Professional Counselor · Moore, OK

NPI number 1831575315 Active

Practice location

1105 SW 30th Ct
Moore, OK 73160-2887

Call (405) 676-5114 Map

Mailing address

9500 SW 33rd St
Oklahoma City, OK 73179-1212

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X10061 (OK)
Case Manager/Care Coordinator 171M00000XNone listed
Adult Companion 372600000XNone listed
Nurse's Aide 376K00000XNone listed

Professional Counselor: Definition to come...

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About NPI 1831575315

Evaristus Penda's National Provider Identifier is 1831575315, issued on Aug 6, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Moore, OK. The record was last updated on Dec 12, 2025.