Individual
ERICA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
111 LEXINGTON AVE, PASSAIC, NJ 07055-5246
(973) 471-8006
Mailing address
58 CORK HILL RD, OGDENSBURG, NJ 07439-1212
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00643700
NJ
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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