ISRAEL PENA

DALLAS, TX
NPI1457504102
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  4193)
Enumeration Date2008-10-28
Last Update Date2008-10-28
Business Address
Mr. ISRAEL PENA LCDC
201 S. TYLER STREET
DALLAS, TX 75208
Phone number: 214-942-5166
Mailing Address
Mr. ISRAEL PENA LCDC
201 S TYLER ST
DALLAS, TX 75208-4934
Phone number: 214-942-5166
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