Individual
JENNIFER PENA-WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 N INDIAN HILL BLVD STE A-201, CLAREMONT, CA 91711-4668
(909) 825-5588
(909) 825-5340
Mailing address
PO BOX 1210, CLAREMONT, CA 91711-1210
(909) 825-5588
(909) 825-5340
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
10/29/2014
Last updated
01/06/2026
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