Individual provider · Type 1 NPI

Jacob Pena

Peer Specialist · Las Cruces, NM

NPI number 1891680559 Active

Practice location

1001 N Solano Dr Ste A
Las Cruces, NM 88001-2366

Call (575) 621-0217 Map

Mailing address

809 S San Pedro St
Las Cruces, NM 88001-3634

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1891680559

Jacob Pena's National Provider Identifier is 1891680559, issued on Jun 11, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Las Cruces, NM. The record was last updated on Jun 11, 2025.