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Jeremiah Peck
Mental Health Counselor in Vancouver, Washington
NPI 1568842532

Jeremiah Peck is a Mental Health Counselor based in Vancouver, WA and is specialized in Mental Health. Jeremiah Peck practices in Vancouver, WA. The NPI Number for Jeremiah Peck is 1568842532 and holds a License No. MC60478443 (Washington).

The current practice location address for Jeremiah Peck is 11105 Ne 14Th St Ste 103, Vancouver, WA and can be reached out via phone at 360-836-0320.

Location: 11105 Ne 14Th St Ste 103, Vancouver, WA, 98684-4309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568842532
Provider Name
Jeremiah Peck
Credential
Provider Entity Type
Individual
Gender
Male
Address
11105 Ne 14Th St Ste 103, Vancouver, WA, 98684-4309
Phone Number
360-836-0320
Fax Number
Provider Enumeration Date
06/04/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11105 Ne 14Th St Ste 103
City
Vancouver
State
Washington
Zip
98684-4309
Phone Number
360-836-0320
Fax Number
person
Provider Business Mailing Address Details
Address
11105 Ne 14Th St Ste 103
City
Vancouver
State
Washington
Zip
98684-4309
Phone Number
360-836-0320
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MC60478443 (Washington)
Definition
Definition to come...
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