Pena, Marian Rose

Pena, Marian Rose is an sole proprietor health care provider with primary practice located at 15230 Lakeshore Dr , Clearlake CA 95422-8107. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pena, Marian Rose can be contacted via phone (707) 995-4500.

Contact Information

Primary practice address
15230 Lakeshore Dr Clearlake CA 95422-8107
Phone: (707) 995-4500
Fax: (707) 995-2401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS16704 California

Profile Details

NPI number 1053441519
LBN Legal business name Pena, Marian Rose
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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