Individual
EMILY PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, JD, LPC-C
Contact information
Practice address
4590 MARTIN DR, BOULDER, CO 80305-6004
(720) 378-8146
Mailing address
4590 MARTIN DR, BOULDER, CO 80305-6004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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