Israel Pena, LCDC
Counselor, Addiction (Substance Use Disorder) in Dallas, TX. Individual provider (NPI-1).
NPI number1457504102
StatusActive
Last updated in NPPESOct 28, 2008
Details
- NPI
- 1457504102
- Entity type
- Individual (NPI-1)
- Name
- Mr. Israel Pena
- Credential
- LCDC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2008
- Last updated
- Oct 28, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 4193 | TX | Yes |
Practice location
201 S. Tyler StreetDallas, TX 75208
Phone 214-942-5166 · Fax 214-942-6006
Mailing address
201 S Tyler StDallas, TX 75208-4934
Phone 214-942-5166 · Fax 214-942-6006
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