HOLLY-MARIE PENA

FAIRBANKS, AK
NPI1427820299
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-10-25
Last Update Date2023-10-25
Business Address
HOLLY-MARIE PENA
542 4TH AVE STE B101
FAIRBANKS, AK 99701-4707
Phone number: 907-374-1097
Mailing Address
HOLLY-MARIE PENA
PO BOX 73004
FAIRBANKS, AK 99707-3004
Phone number: 907-374-1097