JORGE PENA

CEDAR RAPIDS, IA
NPI1104246818
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: IA  1370)
Enumeration Date2014-04-21
Last Update Date2014-04-21
Business Address
JORGE PENA CADC
4403 1ST AVE SE STE 104
CEDAR RAPIDS, IA 52402-3221
Phone number: 319-423-0919
Mailing Address
JORGE PENA CADC
4403 1ST AVE SE STE 104
CEDAR RAPIDS, IA 52402-3221
Phone number: 319-423-0919
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