Provider Demographics
NPI:1689757742
Name:CENA, REBECCA N (LBSW-IPR)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:N
Last Name:CENA
Suffix:
Gender:F
Credentials:LBSW-IPR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 LORETTO RD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79903-4719
Mailing Address - Country:US
Mailing Address - Phone:915-630-6860
Mailing Address - Fax:915-564-4085
Practice Address - Street 1:707 LORETTO RD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903-4719
Practice Address - Country:US
Practice Address - Phone:915-630-6860
Practice Address - Fax:915-564-4085
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25642171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator