Individual provider · Type 1 NPI

Tomas D. Mino Pena, CDPT60922995

Addiction (Substance Use Disorder) Counselor · Chehalis, WA

NPI number 1003472440 Active

Practice location

151 N Market Blvd Ste C
Chehalis, WA 98532-2677

Fax (360) 262-6703

Mailing address

121 NW Chehalis Ave
Chehalis, WA 98532-2010

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1376696096 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003472440

Tomas D. Mino Pena, CDPT60922995's National Provider Identifier is 1003472440, issued on May 10, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Chehalis, WA. The record was last updated on May 24, 2019.