person
Ivan Pena
Professional Counselor in Oceanside, California
NPI 1245877240

Ivan Pena is a Professional Counselor based in Oceanside, CA and is specialized in Professional. Ivan Pena practices in Oceanside, CA. The NPI Number for Ivan Pena is 1245877240 and holds a License No. 11940 (California).

The current practice location address for Ivan Pena is 1738 S Tremont St, Oceanside, CA and can be reached out via phone at 760-547-1381 and via fax at 760-231-5574.

Location: 1738 S Tremont St, Oceanside, CA, 92054-5309
person
Provider Profile Details
NPI Number
1245877240
Provider Name
Ivan Pena
Credential
Provider Entity Type
Individual
Gender
Male
Address
1738 S Tremont St, Oceanside, CA, 92054-5309
Phone Number
760-547-1381
Fax Number
760-231-5574
Provider Enumeration Date
12/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1738 S Tremont St
City
State
Zip
92054-5309
Phone Number
760-547-1381
Fax Number
760-231-5574
person
Provider Business Mailing Address Details
Address
1738 S Tremont St
City
State
Zip
92054-5309
Phone Number
760-547-1381
Fax Number
760-231-5574
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
11940 (California)
Definition
Definition to come...
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