Provider Demographics
NPI:1447598685
Name:PALENA, LOUIS GEORGE (LPC)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:GEORGE
Last Name:PALENA
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 LAUREL RD APT G82
Mailing Address - Street 2:
Mailing Address - City:LINDENWOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:08021-6753
Mailing Address - Country:US
Mailing Address - Phone:856-261-4069
Mailing Address - Fax:
Practice Address - Street 1:1409 ROUTE 70E
Practice Address - Street 2:ALTERNATIVES IN COUNSELING
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08033
Practice Address - Country:US
Practice Address - Phone:856-261-4069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-23
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00465900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional