Tomas D Mino Pena, CDPT60922995
NPI #1003472440 in Chehalis, Washington
Provider Information
- NPI Number
- 1003472440
- Entity Type
- Individual
- Name
- Tomas D Mino Pena, CDPT60922995
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CDPT60922995
- Enumeration Date
- May 10, 2019
- Last Updated
- May 24, 2019
Practice Location
- Address
- 151 N MARKET BLVD STE C
- City
- Chehalis
- State
- Washington
- ZIP Code
- 98532-2677
- Phone
- (360) 948-0203
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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