Individual provider · Type 1 NPI

Jacqueline Pena

Professional Counselor · Minneapolis, MN

NPI number 1073163564 Active

Practice location

3801 W 50th St Ste 250B
Minneapolis, MN 55410-2070

Call (612) 400-9685 Map

Mailing address

3165 Countryside Ave Unit F
St. Paul, MN 55129-7833

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4397 (MN)

Professional Counselor: Definition to come...

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About NPI 1073163564

Jacqueline Pena's National Provider Identifier is 1073163564, issued on Sep 17, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Minneapolis, MN. The record was last updated on May 30, 2024.