Individual provider · Type 1 NPI

Anayeli Dominguez Pena

Addiction (Substance Use Disorder) Counselor · Ontario, CA

NPI number 1891556064 Active

Practice location

125 W F St Ste 101
Ontario, CA 91762-3201

Call (909) 986-4550 Map

Mailing address

1067 E Holt Blvd Trlr 38
Ontario, CA 91761-1926

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 1891556064

Anayeli Dominguez Pena's National Provider Identifier is 1891556064, issued on Jan 16, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ontario, CA. The record was last updated on Dec 27, 2024.