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Carl Peck Valid NPI

Individual provider · Professional Counselor · Suwanee, GA

NPI
1265888598
Type
Individual (Type 1)
Primary specialty
Professional Counselor (Counselor)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
101YP2500X
License number
LPC005748 (GA)
Sex
Male
Sole proprietor
Yes
Enumerated
2016-05-05
Last updated
2016-05-05
Practice location
4485 Tench Rd, Suite 1020
Suwanee, GA 30024-6739
(678) 697-1141

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Carl Peck — NPI 1265888598