Individual
CHRISTINE I PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.F.T.
Contact information
Practice address
10650 COUNTY ROAD 81 STE 133, MAPLE GROVE, MN 55369-4020
(763) 445-9801
Mailing address
7808 NOID DR, BROOKLYN PARK, MN 55428-2206
(763) 445-9801
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2958
MN
Other
Enumeration date
02/26/2016
Last updated
08/21/2023
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