Individual provider · Type 1 NPI

Israel Pena, LCDC

Addiction (Substance Use Disorder) Counselor · Dallas, TX

NPI number 1457504102 Active

Practice location

201 S. Tyler Street
Dallas, TX 75208

Call (214) 942-5166 Map

Fax (214) 942-6006

Mailing address

201 S Tyler St
Dallas, TX 75208-4934

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X4193 (TX)

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

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About NPI 1457504102

Israel Pena, LCDC's National Provider Identifier is 1457504102, issued on Oct 28, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dallas, TX. The record was last updated on Oct 28, 2008.