Individual
MICHAEL D. MCPEEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA, OCPSA, QMHS
Contact information
Practice address
215 N TRIMBLE RD, MANSFIELD, OH 44906-2630
(567) 307-7299
Mailing address
215 N TRIMBLE RD, MANSFIELD, OH 44906-2630
(567) 307-7299
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
CDCA.165250
OH
405300000X
Prevention Professional
Primary
OCPSA.4551
OH
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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