Provider Demographics
NPI:1578175444
Name:PENA, KAREN ANN (SCHOOL COUNSELOR)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANN
Last Name:PENA
Suffix:
Gender:F
Credentials:SCHOOL COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13701 CARNELL ST
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90605-2202
Mailing Address - Country:US
Mailing Address - Phone:323-350-1795
Mailing Address - Fax:
Practice Address - Street 1:13701 CARNELL ST
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-2202
Practice Address - Country:US
Practice Address - Phone:323-350-1795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor