Individual
MS. PATRICIA ANN PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
4236 59TH ST W, BRADENTON, FL 34209-6664
(941) 792-8899
(941) 795-7536
Mailing address
5415 13TH AVENUE DR W, BRADENTON, FL 34209-4239
(941) 792-8899
(941) 795-7536
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MH2975
FL
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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