Provider Demographics
NPI:1891419727
Name:PENA, JARHED MACARUBBO (CRC, LPC)
Entity type:Individual
Prefix:DR
First Name:JARHED
Middle Name:MACARUBBO
Last Name:PENA
Suffix:
Gender:M
Credentials:CRC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4444 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48201-1216
Mailing Address - Country:US
Mailing Address - Phone:734-465-6615
Mailing Address - Fax:
Practice Address - Street 1:4444 2ND AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-1216
Practice Address - Country:US
Practice Address - Phone:734-465-6615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-04
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451018333101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional