Individual provider · Type 1 NPI
Ivan Pena
Professional Counselor · Oceanside, CA
NPI number
1245877240
Active
Practice location
1738 S Tremont St
Oceanside, CA 92054-5309
Fax (760) 231-5574
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 11940 (CA) |
Professional Counselor: Definition to come...
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About NPI 1245877240
Ivan Pena's National Provider Identifier is 1245877240, issued on Dec 9, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oceanside, CA. The record was last updated on Sep 18, 2024.