Individual
MS. JOHANNA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RIC
Contact information
Practice address
19248 TIDEWATER TRL, FREDERICKSBURG, VA 22408-9357
(954) 881-2169
Mailing address
19248 TIDEWATER TRL, FREDERICKSBURG, VA 22408-9357
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
VA
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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