Individual
ISAMAR PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 EAGLES LANDING PKWY STE 202, STOCKBRIDGE, GA 30281-7343
(770) 728-3990
Mailing address
96 SKYLAND DR E, LOCUST GROVE, GA 30248-3845
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/04/2025
Last updated
07/04/2025
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