Individual
JANE A PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
501 BILLINGSLEY RD, BEHAVIORAL HEALTH CENTER CMC RANDOLPH, CHARLOTTE, NC 28211-1009
(704) 358-2700
(704) 444-2532
Mailing address
501 BILLINGSLEY RD, BEHAVIORAL HEALTH CENTER CMC RANDOLPH, CHARLOTTE, NC 28211-1009
(704) 358-2710
(704) 358-2938
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
826
NC
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
950005
NC
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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