person
Mr. James E Peacock, CSAC,ICS
Addiction (Substance Use Disorder) Counselor in Bayfield, Wisconsin
NPI 1588119887

James E Peacock is an Addiction (Substance Use Disorder) Counselor based in Bayfield, WI and is specialized in Addiction (Substance Use Disorder). James E Peacock practices in Bayfield, WI and has the professional credentials of CSAC,ICS. The NPI Number for James E Peacock is 1588119887 and holds a License No. 14968-132 (Wisconsin).

The current practice location address for James E Peacock is 36745 Aiken Rd, Bayfield, WI and can be reached out via phone at 715-779-3707 and via fax at 715-779-3362.

Location: 36745 Aiken Rd, Bayfield, WI, 54814-4579
person
Provider Profile Details
NPI Number
1588119887
Provider Name
James E Peacock
Credential
CSAC,ICS
Provider Entity Type
Individual
Gender
Male
Address
36745 Aiken Rd, Bayfield, WI, 54814-4579
Phone Number
715-779-3707
Fax Number
715-779-3362
Provider Enumeration Date
08/17/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100059919 05 WI
institution
Provider Business Practice Location Address Details
Address
36745 Aiken Rd
City
State
Zip
54814-4579
Phone Number
715-779-3707
Fax Number
715-779-3362
person
Provider Business Mailing Address Details
Address
36745 Aiken Rd
City
State
Zip
54814-4579
Phone Number
715-779-3707
Fax Number
715-779-3362
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
14968132 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
14968-132 (Wisconsin)
Definition
Definition to come...
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