Individual provider · Type 1 NPI
Rafael A. Pena Jr., LCADC
Addiction (Substance Use Disorder) Counselor · Newark, NJ
NPI number
1548855323
Active
Practice location
136 Tiffany Blvd Apt 228
Newark, NJ 07104-2470
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC00327800 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1548855323
Rafael A. Pena Jr., LCADC's National Provider Identifier is 1548855323, issued on Mar 4, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Newark, NJ. The record was last updated on Mar 4, 2021.