Individual
CASSAUNDRA VAWTER PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCS, LCAS, CCS
Contact information
Practice address
103 HERON CT, NEWPORT, NC 28570-8013
(252) 398-7144
Mailing address
103 HERON CT, NEWPORT, NC 28570-8013
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS #1730
NC
101YM0800X
Mental Health Counselor
Primary
S7997
NC
Other
Enumeration date
05/31/2011
Last updated
09/26/2023
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