Individual
BRENNA PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
880 N COLORADO ST, GILBERT, AZ 85233-3419
(480) 820-0825
Mailing address
204 E HARVARD DR, TEMPE, AZ 85283-1845
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-18547
AZ
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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