Individual provider · Type 1 NPI

Anna Marie Pena

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1972667236 Active

Practice location

1111 N El Dorado St
Stockton, CA 95202-1305

Fax (209) 938-0281

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center 261Q00000X39-07 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X6197 (CA)

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

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About NPI 1972667236

Anna Marie Pena's National Provider Identifier is 1972667236, issued on Dec 21, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Dec 22, 2023.