Yibelis Tatiana Pena

NPI #1194105569 in Salem, Massachusetts

Provider Information

NPI Number: 1194105569
Entity Type: Individual
Name: Yibelis Tatiana Pena
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jun 1, 2015
Last Updated: Jun 1, 2015

Practice Location

Address: 32 HANSON ST
Address 2: APT 2
City: Salem
State: Massachusetts
ZIP Code: 01970-1345
Phone: (978) 210-1142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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