Anna Marie Pena
Anna Marie Pena is a Clinic/Center in Stockton, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
1111 N El Dorado StStockton, CA 95202-1305
Phone: (209) 938-0228
Fax: (209) 938-0281
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 6197 (CA) |
|---|---|
| Clinic/Center | Taxonomy 261Q00000X · Licence 39-07 (CA) |
Record details
| NPI number | 1972667236 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 21, 2006 |
| Last updated in NPPES | December 22, 2023 |
| Certification date | December 22, 2023 |
| Mailing address | 1111 N El Dorado St, Stockton, CA 95202-1305 |
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