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Mr. Carl Peck
Professional Counselor in Suwanee, Georgia
NPI 1265888598

Carl Peck is a Professional Counselor based in Suwanee, GA and is specialized in Professional. Carl Peck practices in Suwanee, GA. The NPI Number for Carl Peck is 1265888598 and holds a License No. LPC005748 (Georgia).

The current practice location address for Carl Peck is 4485 Tench Rd, Suwanee, GA and can be reached out via phone at 678-697-1141.

Location: 4485 Tench Rd, Suwanee, GA, 30024-7115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265888598
Provider Name
Carl Peck
Credential
Provider Entity Type
Individual
Gender
Male
Address
4485 Tench Rd, Suwanee, GA, 30024-7115
Phone Number
678-697-1141
Fax Number
Provider Enumeration Date
05/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4485 Tench Rd
City
Suwanee
State
Georgia
Zip
30024-6739
Phone Number
678-697-1141
Fax Number
person
Provider Business Mailing Address Details
Address
4485 Tench Rd
City
Suwanee
State
Georgia
Zip
30024-6739
Phone Number
678-697-1141
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC005748 (Georgia)
Definition
Definition to come...
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