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1457504102
ISRAEL PENA
DALLAS, TX
NPI
1457504102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 4193)
Enumeration Date
2008-10-28
Last Update Date
2008-10-28
Business Address
Mr. ISRAEL PENA LCDC
201 S. TYLER STREET
DALLAS, TX 75208
Phone number: 214-942-5166
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Mailing Address
Mr. ISRAEL PENA LCDC
201 S TYLER ST
DALLAS, TX 75208-4934
Phone number: 214-942-5166
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