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Individual

TRENA PECKHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT, LPC

Contact information

Practice address
116 LILY FLAGG RD SW STE D, HUNTSVILLE, AL 35802-3066
(256) 881-5352
(256) 881-5355
Mailing address
13386 NEWBY PLANTATION LN, ATHENS, AL 35613-8373
(920) 242-1772

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC-7411
ID
106H00000X
Marriage & Family Therapist
Primary
L506
AL

Other

Enumeration date
08/07/2019
Last updated
08/07/2019
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