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Individual

ALYSSA VICTORIA PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2751 NAPA VALLEY CORPORATE DR BLDG B, NAPA, CA 94558-6216
(707) 227-3900
Mailing address
1701 MARSHALL RD APT 128, VACAVILLE, CA 95687-4505
(707) 392-9006

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95048865
CA

Other

Enumeration date
05/29/2014
Last updated
10/11/2018
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