person
Marci L De La Pena
Addiction (Substance Use Disorder) Counselor in Hollister, California
NPI 1790354892

Marci L De La Pena is an Addiction (Substance Use Disorder) Counselor based in Hollister, CA and is specialized in Addiction (Substance Use Disorder). Marci L De La Pena practices in Hollister, CA. The NPI Number for Marci L De La Pena is 1790354892 and holds a License No. 122179 (California).

The current practice location address for Marci L De La Pena is 335 6Th St, Hollister, CA and can be reached out via phone at 831-207-7174. You can also correspond with Marci L De La Pena through the mailing address at 335 6TH ST, HOLLISTER, CA - 95023-3834 (mailing address contact number: 831-207-7174).

Location: 335 6Th St, Hollister, CA, 95023-3834
person
Provider Profile Details
NPI Number
1790354892
Provider Name
Marci L De La Pena
Credential
Provider Entity Type
Individual
Gender
Female
Address
335 6Th St, Hollister, CA, 95023-3834
Phone Number
831-207-7174
Fax Number
Provider Enumeration Date
06/22/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
122179 01 CA CCAPP
institution
Provider Business Practice Location Address Details
Address
335 6Th St
City
State
Zip
95023-3834
Phone Number
831-207-7174
Fax Number
person
Provider Business Mailing Address Details
Address
335 6Th St
City
State
Zip
95023-3834
Phone Number
831-207-7174
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
122179 (California)
Definition
Definition to come...
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