Individual
MONICA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3837 BEAUVISTA DR, CHARLOTTE, NC 28269-1090
(917) 547-8097
Mailing address
3837 BEAUVISTA DR, CHARLOTTE, NC 28269-1090
(917) 547-8097
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
1987
NC
106H00000X
Marriage & Family Therapist
Primary
MFT-0000125-0
NY
106H00000X
Marriage & Family Therapist
MT-1807
FL
Other
Enumeration date
06/22/2019
Last updated
06/22/2019
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