Individual
MR. RAFAEL A PENA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
136 TIFFANY BLVD APT 228, NEWARK, NJ 07104-2470
(201) 658-5044
Mailing address
136 TIFFANY BLVD APT 228, NEWARK, NJ 07104-2470
(201) 658-5044
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00327800
NJ
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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