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Individual

ANNA PECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC, TCADC

Contact information

Practice address
1100 WALNUT ST, OWENSBORO, KY 42301-2956
(270) 689-6512
Mailing address
1100 WALNUT ST, OWENSBORO, KY 42301-2956
(270) 689-6512

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
168200
KY
101YM0800X
Mental Health Counselor
162919
KY
101YP2500X
Professional Counselor
Primary
174366
KY

Other

Enumeration date
12/12/2016
Last updated
11/17/2017
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