Individual
MARCOS PENA
Active
Individual
MARCOS PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LADAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CTB-2023-0281
NM
1041C0700X
Clinical Social Worker
Primary
103362
TX
1041C0700X
Clinical Social Worker
SWB-2023-0579
NM
Other
Enumeration date
06/04/2020
Last updated
08/27/2026
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