Individual
MARIA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2024 CYPRESS CT, CLAYTON, NC 27520-8616
(919) 527-4708
Mailing address
2024 CYPRESS CT, CLAYTON, NC 27520-8616
(919) 527-4708
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22460
NC
Other
Enumeration date
05/03/2016
Last updated
05/24/2016
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