person
Larry Dean Peacock, LPC,CSAC
Professional Counselor in Chantilly, Virginia
NPI 1871600825

Larry Dean Peacock is a Professional Counselor based in Springfield, VA and is specialized in Professional. Larry Dean Peacock practices in Chantilly, VA and has the professional credentials of LPC,CSAC. The NPI Number for Larry Dean Peacock is 1871600825 and holds a License No. 0701003461 (Virginia).

The current practice location address for Larry Dean Peacock is 4213 Walney Rd, Chantilly, VA and can be reached out via phone at 703-502-7039 and via fax at 703-502-7055.

Location: 4213 Walney Rd, Chantilly, VA, 22150-1501
person
Provider Profile Details
NPI Number
1871600825
Provider Name
Larry Dean Peacock
Credential
LPC,CSAC
Provider Entity Type
Individual
Gender
Male
Address
4213 Walney Rd, Chantilly, VA, 22150-1501
Phone Number
703-502-7039
Fax Number
703-502-7055
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4213 Walney Rd
City
State
Zip
20151-2923
Phone Number
703-502-7039
Fax Number
703-502-7055
person
Provider Business Mailing Address Details
Address
4213 Walney Rd
City
State
Zip
20151-2923
Phone Number
703-502-7039
Fax Number
703-502-7055
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701003461 (Virginia)
Definition
Definition to come...
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