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General NPI Number Information
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NPI Number | 1740080316
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Entity Type | Individual
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Provider Name | ROLANDO PENA LPC-ASSOCIATE
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Gender | Male
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 2505 ALDINE MAIL ROUTE RD
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City | HOUSTON
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State | TX
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Zip | 77039-5601
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Country | US
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Telephone | 888-478-8432
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Fax |
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Provider Business Mailing Address
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Address Line | 1102 W TRI OAKS LN APT 114
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City | HOUSTON
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State | TX
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Zip | 77043-4676
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Country | US
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Telephone | 832-652-0021
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 89392
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License Number State | TX
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