Individual
MR. ALEX KENNETH PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 BISSO LN, CONCORD, CA 94520-4832
(925) 608-6775
Mailing address
390 40TH ST, OAKLAND, CA 94609-2633
(510) 613-0330
(510) 569-4589
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
125769
CA
172V00000X
Community Health Worker
92604
CA
Other
Enumeration date
08/22/2018
Last updated
03/25/2025
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