Provider Demographics
NPI:1386804854
Name:FURNISS, MARGARET ROSE (LCSW, LMFT, MA)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ROSE
Last Name:FURNISS
Suffix:
Gender:F
Credentials:LCSW, LMFT, MA
Other - Prefix:MS
Other - First Name:PEGGY
Other - Middle Name:ROSE
Other - Last Name:FURNISS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:4065 S WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-6911
Mailing Address - Country:US
Mailing Address - Phone:765-437-2253
Mailing Address - Fax:765-319-0522
Practice Address - Street 1:4065 S WEBSTER ST
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-6911
Practice Address - Country:US
Practice Address - Phone:765-437-2253
Practice Address - Fax:765-319-0522
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34002144A1041C0700X
IN35001008A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist