Individual provider · Type 1 NPI

Marie Pena

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1497525448 Active

Practice location

190 E Hackett Rd
Modesto, CA 95358-9001

Mailing address

1620 Cummins Dr
Modesto, CA 95358-6400

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1497525448

Marie Pena's National Provider Identifier is 1497525448, issued on Jan 2, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Modesto, CA. The record was last updated on Mar 17, 2026.