person
Mr. Robin Ross Peacock, LSAC
Addiction (Substance Use Disorder) Counselor in Ogden, Utah
NPI 1457570277

Robin Ross Peacock is an Addiction (Substance Use Disorder) Counselor based in Hooper, UT and is specialized in Addiction (Substance Use Disorder). Robin Ross Peacock practices in Ogden, UT and has the professional credentials of LSAC. The NPI Number for Robin Ross Peacock is 1457570277 and holds a License No. 138819-6006 (Utah).

The current practice location address for Robin Ross Peacock is 2127 Lincoln Ave, Ogden, UT and can be reached out via phone at 801-625-3686 and via fax at 801-621-4203. You can also correspond with Robin Ross Peacock through the mailing address at 5961 W 5050 S, HOOPER, UT - 84315-9720 (mailing address contact number: 801-985-9891).

Location: 2127 Lincoln Ave, Ogden, UT, 84315-9720
person
Provider Profile Details
NPI Number
1457570277
Provider Name
Robin Ross Peacock
Credential
LSAC
Provider Entity Type
Individual
Gender
Male
Address
2127 Lincoln Ave, Ogden, UT, 84315-9720
Phone Number
801-625-3686
Fax Number
801-621-4203
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
876000308007 05 UT
institution
Provider Business Practice Location Address Details
Address
2127 Lincoln Ave
City
State
Zip
84401-1313
Phone Number
801-625-3686
Fax Number
801-621-4203
person
Provider Business Mailing Address Details
Address
2127 Lincoln Ave
City
State
Zip
84401-1313
Phone Number
801-625-3686
Fax Number
801-621-4203
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
138819-6006 (Utah)
Definition
Definition to come...
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