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Individual
EDGAR ALFONSO PENA
Active
Individual
EDGAR ALFONSO PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.H.C, CAP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAP 5058
FL
101YM0800X
Mental Health Counselor
Primary
MH 10529
FL
Other
Enumeration date
08/31/2007
Last updated
02/12/2013
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