Individual
CAROLINA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 MEADOWVIEW LN, COPPELL, TX 75019-5742
(347) 855-1722
Mailing address
50 W 105TH ST, NEW YORK, NY 10025-4020
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
80626
TX
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/31/2014
Last updated
03/17/2025
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