Provider Demographics
NPI:1720894470
Name:PEMU, MARGARET-MARIA (LPC)
Entity type:Individual
Prefix:
First Name:MARGARET-MARIA
Middle Name:
Last Name:PEMU
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1363 N IZARD LN APT 206
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72704-4814
Mailing Address - Country:US
Mailing Address - Phone:251-706-9186
Mailing Address - Fax:
Practice Address - Street 1:1363 N IZARD LN APT 206
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72704-4814
Practice Address - Country:US
Practice Address - Phone:251-706-9186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-07
Last Update Date:2024-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor