Individual
MATTHEW ANTHONY PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1755 N WESTGATE DR STE 260, BOISE, ID 83704-7176
(208) 373-0790
(208) 373-0816
Mailing address
1755 N WESTGATE DR STE 260, BOISE, ID 83704-7176
(208) 373-0790
(208) 373-0816
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-3792
ID
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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