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Individual

ARIAM IVETTE PENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
11260 ROGER BACON DR STE 103, RESTON, VA 20190-5203
(703) 782-3073
Mailing address
43005 ATOKA MANOR TER, ASHBURN, VA 20148-7546
(470) 351-8219

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701013442
VA
101YP2500X
Professional Counselor
Primary
LPC013366
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1303295
MA
Enumeration date
11/06/2013
Last updated
02/28/2025
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