Individual
SAMANTHA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1821 WESTINGHOUSE RD STE 1150, GEORGETOWN, TX 78626-7645
(512) 763-2186
(512) 727-6364
Mailing address
2904 SANTA ROSITA DR, ROUND ROCK, TX 78665-3411
(512) 763-2186
(512) 727-6364
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203785
TX
Other
Enumeration date
03/02/2022
Last updated
04/22/2022
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