Individual provider · Type 1 NPI

Genesis Pena

Mental Health Counselor · Vacaville, CA

NPI number 1114838141 Active

Practice location

1 Quality Dr
Vacaville, CA 95688-9494

Call (707) 624-2830 Map

Mailing address

3109 Chettenham Dr
Rancho Cordova, CA 95670-5708

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X164871 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1114838141

Genesis Pena's National Provider Identifier is 1114838141, issued on Sep 16, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vacaville, CA. The record was last updated on Sep 16, 2026.