Individual
SHERRY L PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, ATR
Contact information
Practice address
121 W MAIN ST, PORT WASHINGTON, WI 53074-1813
(262) 284-8200
(262) 284-8104
Mailing address
121 W MAIN ST, PORT WASHINGTON, WI 53074-1813
(262) 284-8200
(262) 284-8104
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3488
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
3488-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40976900
—
WI
Enumeration date
08/08/2006
Last updated
05/29/2009
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