Individual
CHRISTINA M PENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 8TH AVE RM 906, NEW YORK, NY 10018-4190
(212) 679-4960
Mailing address
500 8TH AVE RM 906, NEW YORK, NY 10018-4190
(212) 679-4960
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P87463
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P87463
CREDENTIALS
NY
Enumeration date
04/03/2013
Last updated
04/03/2013
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