Individual
JOSEPH RODRIGUEZ PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
3916 ACADEMY ST, DEARBORN HEIGHTS, MI 48125-2202
(313) 274-0913
Mailing address
3916 ACADEMY ST, DEARBORN HEIGHTS, MI 48125-2202
(313) 274-0913
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
L1243789
MI
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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