| Abraham Pena Psychotherapy Pllc | |
|
5425 Rainier Ave S Ste A Seattle WA 98118-2455 | |
| (206) 457-2839 | |
| Not Available |
| Full Name | Abraham Pena Psychotherapy Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 5425 Rainier Ave S Ste A, Seattle, Washington |
| Authorized Official Name and Position | Abraham J Pena (SOCIAL WORKER/BODYWORKER) |
| Authorized Official Contact | 2064572839 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abraham Pena Psychotherapy Pllc 5422 S Othello St Seattle WA 98118-4239 Ph: (206) 498-4259 | Abraham Pena Psychotherapy Pllc 5425 Rainier Ave S Ste A Seattle WA 98118-2455 Ph: (206) 457-2839 |
| NPI Number | 1326713728 |
|---|---|
| Provider Enumeration Date | 08/09/2021 |
| Last Update Date | 08/09/2021 |
| Certification Date | 08/09/2021 |
| Medicare PECOS PAC ID | 2961800644 |
|---|---|
| Medicare Enrollment ID | O20211011001520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326713728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Abraham J Pena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245619402 PECOS PAC ID: 0345677571 Enrollment ID: I20200227000654 |
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