Individual provider · Type 1 NPI
Johanna Pena, RIC
Professional Counselor · Fredericksburg, VA
NPI number
1265217699
Active
Practice location
19248 Tidewater Trl
Fredericksburg, VA 22408-9357
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1265217699
Johanna Pena, RIC's National Provider Identifier is 1265217699, issued on Aug 24, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fredericksburg, VA. The record was last updated on Aug 24, 2023.