Individual
JOVAHNA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BEHAVIORAL HEALTH GROUP, 850 23RD AVE UNIT A, LONGMONT, CO 80501
(303) 245-0123
Mailing address
1906 PEARL ST APT 4, BOULDER, CO 80302-4472
(928) 606-4353
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0107861
CO
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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