Provider Demographics
NPI:1841505740
Name:ROSS FUHRMAN, MOLLY (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:
Last Name:ROSS FUHRMAN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:K
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1521 WESTCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-1307
Mailing Address - Country:US
Mailing Address - Phone:405-740-7705
Mailing Address - Fax:
Practice Address - Street 1:225 LILAC DR # 250
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-7285
Practice Address - Country:US
Practice Address - Phone:405-310-3262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK04183101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional