Individual provider · Type 1 NPI
Emmanuel Legman Pena
Addiction (Substance Use Disorder) Counselor · Minneapolis, MN
NPI number
1417256504
Active
Practice location
720 E Lake St
Minneapolis, MN 55407-1547
Fax (612) 871-1058
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1417256504
Emmanuel Legman Pena's National Provider Identifier is 1417256504, issued on Mar 15, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 15, 2011.