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Individual
SCOTT CHARLES PEACOCK
Active
Individual
SCOTT CHARLES PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12382
TX
101YP2500X
Professional Counselor
Primary
71179
TX
106H00000X
Marriage & Family Therapist
202198
TX
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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