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Patrick Lynn Peck
Mental Health Counselor in West Plains, Missouri
NPI 1710517727

Patrick Lynn Peck is a Mental Health Counselor based in West Plains, MO and is specialized in Mental Health. Patrick Lynn Peck practices in West Plains, MO. The NPI Number for Patrick Lynn Peck is 1710517727 and holds a License No. 2019037629 (Missouri).

The current practice location address for Patrick Lynn Peck is 1100 N Kentucky Ave, West Plains, MO and can be reached out via phone at 417-256-9111.

Location: 1100 N Kentucky Ave, West Plains, MO, 65775-1100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710517727
Provider Name
Patrick Lynn Peck
Credential
Provider Entity Type
Individual
Gender
Male
Address
1100 N Kentucky Ave, West Plains, MO, 65775-1100
Phone Number
417-256-9111
Fax Number
Provider Enumeration Date
01/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1100 N Kentucky Ave
City
West Plains
State
Missouri
Zip
65775-2029
Phone Number
417-256-9111
Fax Number
person
Provider Business Mailing Address Details
Address
1100 N Kentucky Ave
City
West Plains
State
Missouri
Zip
65775-2029
Phone Number
417-256-9111
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
2019037629 (Missouri)
Definition
Definition to come...
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