Individual
JUDITH E PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW; LADC
Contact information
Practice address
540 LITCHFIELD ST, C/O IRENE BENZA, TORRINGTON, CT 06790-6679
(860) 496-6361
(860) 496-6389
Mailing address
540 LITCHFIELD ST, C/O IRENE BENZA, TORRINGTON, CT 06790-6679
(860) 496-6361
(860) 496-6389
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000758
CT
1041C0700X
Clinical Social Worker
Primary
006853
CT
Other
Enumeration date
06/27/2007
Last updated
01/20/2012
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