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Ariam Ivette Pena, MA
Professional Counselor in Norcross, Georgia
NPI 1437588837

Ariam Ivette Pena is a Professional Counselor based in Norcross, GA and is specialized in Professional. Ariam Ivette Pena practices in Norcross, GA and has the professional credentials of MA. The NPI Number for Ariam Ivette Pena is 1437588837 and holds a License No. 0701013442 (Georgia).

The current practice location address for Ariam Ivette Pena is 4300 Jimmy Carter Blvd Apt 815, Norcross, GA and can be reached out via phone at 470-351-8219.

Location: 4300 Jimmy Carter Blvd Apt 815, Norcross, GA, 30093-5082
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437588837
Provider Name
Ariam Ivette Pena
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
4300 Jimmy Carter Blvd Apt 815, Norcross, GA, 30093-5082
Phone Number
470-351-8219
Fax Number
Provider Enumeration Date
11/06/2013
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1303295 05 MA
institution
Provider Business Practice Location Address Details
Address
4300 Jimmy Carter Blvd Apt 815
City
Norcross
State
Georgia
Zip
30093-5082
Phone Number
470-351-8219
Fax Number
person
Provider Business Mailing Address Details
Address
4300 Jimmy Carter Blvd Apt 815
City
Norcross
State
Georgia
Zip
30093-5082
Phone Number
470-351-8219
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
0701013442 (Virginia)
Definition
Definition to come...
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