Provider Demographics
NPI:1295455574
Name:O'KANE, MARLENA (LPC)
Entity type:Individual
Prefix:MRS
First Name:MARLENA
Middle Name:
Last Name:O'KANE
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 1:357 HILLSIDE RD
Mailing Address - Street 2:
Mailing Address - City:RIDLEY PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19078-2804
Mailing Address - Country:US
Mailing Address - Phone:267-349-9071
Mailing Address - Fax:
Practice Address - Street 1:357 HILLSIDE RD
Practice Address - Street 2:
Practice Address - City:RIDLEY PARK
Practice Address - State:PA
Practice Address - Zip Code:19078-2804
Practice Address - Country:US
Practice Address - Phone:267-349-9071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014351101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional