| Juan B Pena Counseling Services Lcsw Pllc | |
|
17501 Sw 152nd Ave Miami FL 33187-6311 | |
| (347) 688-3672 | |
| (718) 228-7361 |
| Full Name | Juan B Pena Counseling Services Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 17501 Sw 152nd Ave, Miami, Florida |
| Authorized Official Name and Position | Juan B Pena (OWNER) |
| Authorized Official Contact | 3476887362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juan B Pena Counseling Services Lcsw Pllc 17501 Sw 152nd Ave Miami FL 33187-6311 Ph: (347) 688-3672 | Juan B Pena Counseling Services Lcsw Pllc 17501 Sw 152nd Ave Miami FL 33187-6311 Ph: (347) 688-3672 |
| NPI Number | 1083173330 |
|---|---|
| Provider Enumeration Date | 03/17/2019 |
| Last Update Date | 07/04/2022 |
| Certification Date | 02/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083173330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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