Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Ruby Pena

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508521485

Jacqueline Ruby Pena is a Student in an Organized Health Care Education/Training Program in Lancaster, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

45111 Fern Ave
Lancaster, CA 93534-2301
Phone: (661) 949-1206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 12965 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508521485
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 4, 2021
Last updated in NPPESJanuary 12, 2023
Certification dateJanuary 12, 2023
Mailing address45111 Fern Ave, Lancaster, CA 93534-2301

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