person
Tomas D Mino Pena, CDPT60922995
Addiction (Substance Use Disorder) Counselor in Chehalis, Washington
NPI 1003472440

Tomas D Mino Pena is an Addiction (Substance Use Disorder) Counselor based in Chehalis, WA and is specialized in Addiction (Substance Use Disorder). Tomas D Mino Pena practices in Chehalis, WA and has the professional credentials of CDPT60922995. The NPI Number for Tomas D Mino Pena is 1003472440 and holds a License No. 1376696096 (Washington).

The current practice location address for Tomas D Mino Pena is 151 N Market Blvd Ste C, Chehalis, WA and can be reached out via phone at 360-948-0203 and via fax at 360-262-6703.

Location: 151 N Market Blvd Ste C, Chehalis, WA, 98532-2010
person
Provider Profile Details
NPI Number
1003472440
Provider Name
Tomas D Mino Pena
Credential
CDPT60922995
Provider Entity Type
Individual
Gender
Male
Address
151 N Market Blvd Ste C, Chehalis, WA, 98532-2010
Phone Number
360-948-0203
Fax Number
360-262-6703
Provider Enumeration Date
05/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
151 N Market Blvd Ste C
City
State
Zip
98532-2677
Phone Number
360-948-0203
Fax Number
360-262-6703
person
Provider Business Mailing Address Details
Address
151 N Market Blvd Ste C
City
State
Zip
98532-2677
Phone Number
360-948-0203
Fax Number
360-262-6703
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1376696096 (Washington)
Definition
Definition to come...
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