Individual
PEGGY SUE MCCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
209 E WASHINGTON AVE STE 330D, JACKSON, MI 49201-2393
(517) 513-1711
(517) 200-3052
Mailing address
209 E WASHINGTON AVE STE D49202, JACKSON, MI 49201-2393
(517) 513-1171
(517) 200-3052
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
6401013096
MI
101YP2500X
Professional Counselor
Primary
6401013096
MI
Other
Enumeration date
04/04/2013
Last updated
04/26/2024
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