Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORGE PENA, CADC
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · CEDAR RAPIDS, IA
Registration Details
- NPI Number
- 1104246818
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 21, 2014 (12.003231238996 yrs)
- Last Updated
- Apr 21, 2014
- License
-
1370 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4403 1ST AVE SE STE 104CEDAR RAPIDS, IA, 524023221Browse IA providers · Browse ZIP 52402
- Phone
- 3194230919
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in CEDAR RAPIDS, IA
| Name | Credential | NPI |
|---|---|---|
| MS. INGRID DAWN MEYER | M.A. | 1114138724 |
| MARY BOOTS | IADC | 1740602770 |
| KENNETH WINTER | — | 1992197347 |
| ANDREA JAYNE | — | 1477933182 |
| TRACY CARSTENSEN | — | 1558741280 |
| JOHN MALONE | CADC/IADC | 1699159095 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.