ANNA MARIE PENA NPI 1972667236

NPI Information

NPI: 1972667236
Provider Name: ANNA MARIE PENA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1111 N EL DORADO ST
STOCKTON, CA
ZIP 95202
Phone: (209) 938-0228
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Anna Marie Pena is an addiction (substance use disorder) counselor in Stockton, CA. Anna Marie Pena NPI is 1972667236. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1111 N EL DORADO ST
STOCKTON, CA
ZIP 95202-305
Phone: (209) 938-0228
Fax: (209) 938-0281

The enumeration date for this NPI number is 12/21/2006 and was last updated on 12/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center		39-07	CALIFORNIA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	6197	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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