Individual
GIOVANNA PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
123 HOW LN, NEW BRUNSWICK, NJ 08901-3653
(732) 565-5494
Mailing address
1736 BURNET AVE, UNION, NJ 07083-4252
(646) 571-6252
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00694700
NJ
Other
Enumeration date
05/25/2024
Last updated
05/25/2024
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