Provider Demographics
NPI:1598319089
Name:HUGHES, MARENA BETH (QMHP, LMFT-A)
Entity Type:Individual
Prefix:
First Name:MARENA
Middle Name:BETH
Last Name:HUGHES
Suffix:
Gender:F
Credentials:QMHP, LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2206 WASHBURN WAY # 1005
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97603-4508
Mailing Address - Country:US
Mailing Address - Phone:310-872-7591
Mailing Address - Fax:
Practice Address - Street 1:905 MAIN ST STE 512
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97601-6062
Practice Address - Country:US
Practice Address - Phone:310-872-7591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-01
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 106H00000X
ORR7850106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health