person
Mr. Bryan James Peacock, LPC
Professional Counselor in Wauwatosa, Wisconsin
NPI 1780819797

Bryan James Peacock is a Professional Counselor based in Sussex, WI and is specialized in Professional. Bryan James Peacock practices in Wauwatosa, WI and has the professional credentials of LPC. The NPI Number for Bryan James Peacock is 1780819797 and holds a License No. 3957-125 (Wisconsin).

The current practice location address for Bryan James Peacock is 11904 W North Ave, Wauwatosa, WI and can be reached out via phone at 414-248-4347.

Location: 11904 W North Ave, Wauwatosa, WI, 53089-2585
person
Provider Profile Details
NPI Number
1780819797
Provider Name
Bryan James Peacock
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
11904 W North Ave, Wauwatosa, WI, 53089-2585
Phone Number
414-248-4347
Fax Number
Provider Enumeration Date
05/19/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11904 W North Ave
City
State
Zip
53226-2062
Phone Number
414-248-4347
Fax Number
person
Provider Business Mailing Address Details
Address
11904 W North Ave
City
State
Zip
53226-2062
Phone Number
414-248-4347
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
3957-125 (Wisconsin)
Definition
Definition to come...
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