Pena, Kristen M
Pena, Kristen M is an sole proprietor health care provider with primary practice located at 3000 N Atlantic Ave Suite 102, Cocoa Beach FL 32931-5078. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pena, Kristen M can be contacted via phone (321) 784-5367.Contact Information
Primary practice address
3000 N Atlantic Ave Suite 102
Cocoa Beach FL 32931-5078
Phone: (321) 784-5367
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | IMH11652 | Florida |
Profile Details
| NPI number | 1558815423 |
|---|---|
| LBN Legal business name | Pena, Kristen M |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2016 |
| Last updated | Aug 9th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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