Individual
KATHERINE PECK LOUISE PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNS, PNP
Contact information
Practice address
1850 COPPER LOOP, LAS CRUCES, NM 88005-8139
(505) 647-7642
Mailing address
11904 SOLEDAD CANYON RD, LAS CRUCES, NM 88011-8331
(505) 521-3911
(505) 646-2167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R48558
NM
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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