Individual provider · Type 1 NPI

Fernando Pena Gomez

Addiction (Substance Use Disorder) Counselor · Moses Lake, WA

NPI number 1619875309 Active

Practice location

840 E Plum St
Moses Lake, WA 98837-1874

Call (509) 765-9239 Map

Fax (509) 764-2692

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 1619875309

Fernando Pena Gomez's National Provider Identifier is 1619875309, issued on Oct 30, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Moses Lake, WA. The record was last updated on Oct 30, 2026.