person
Mrs. Shannon Lea Peck, MSLPC
Professional Counselor in San Antonio, Texas
NPI 1457466922

Shannon Lea Peck is a Professional Counselor based in San Antonio, TX and is specialized in Professional. Shannon Lea Peck practices in San Antonio, TX and has the professional credentials of MSLPC. The NPI Number for Shannon Lea Peck is 1457466922 and holds a License No. 13772 (Texas).

The current practice location address for Shannon Lea Peck is 3030 Nacogdoches Rd Ste 101, San Antonio, TX and can be reached out via phone at 210-826-9599 and via fax at 210-826-9828.

Location: 3030 Nacogdoches Rd Ste 101, San Antonio, TX, 78229-3539
person
Provider Profile Details
NPI Number
1457466922
Provider Name
Shannon Lea Peck
Credential
MSLPC
Provider Entity Type
Individual
Gender
Female
Address
3030 Nacogdoches Rd Ste 101, San Antonio, TX, 78229-3539
Phone Number
210-826-9599
Fax Number
210-826-9828
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A046244 01 TX VALUE OPTIONS
3479LC 01 TX BLUE CROSS BLUE SHIELD
027879801 05 TX
institution
Provider Business Practice Location Address Details
Address
3030 Nacogdoches Rd Ste 101
City
State
Zip
78217-4502
Phone Number
210-826-9599
Fax Number
210-826-9828
person
Provider Business Mailing Address Details
Address
3030 Nacogdoches Rd Ste 101
City
State
Zip
78217-4502
Phone Number
210-826-9599
Fax Number
210-826-9828
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
13772 (Texas)
Definition
Definition to come...
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