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Anna Marie Pena
Addiction (Substance Use Disorder) Counselor in Stockton, California
NPI 1972667236

Anna Marie Pena is an Addiction (Substance Use Disorder) Counselor based in Stockton, CA and is specialized in Addiction (Substance Use Disorder). Anna Marie Pena practices in Stockton, CA. The NPI Number for Anna Marie Pena is 1972667236 and holds a License No. 39-07 (California).

The current practice location address for Anna Marie Pena is 1111 N El Dorado St, Stockton, CA and can be reached out via phone at 209-938-0228 and via fax at 209-938-0281.

Location: 1111 N El Dorado St, Stockton, CA, 95202-1305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972667236
Provider Name
Anna Marie Pena
Credential
Provider Entity Type
Individual
Gender
Female
Address
1111 N El Dorado St, Stockton, CA, 95202-1305
Phone Number
209-938-0228
Fax Number
209-938-0281
Provider Enumeration Date
12/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1111 N El Dorado St
City
Stockton
State
California
Zip
95202-1305
Phone Number
209-938-0228
Fax Number
209-938-0281
person
Provider Business Mailing Address Details
Address
1111 N El Dorado St
City
Stockton
State
California
Zip
95202-1305
Phone Number
209-938-0228
Fax Number
209-938-0281
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
6197 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
39-07 (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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