Individual
DAVID W PEACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
1104 W DELAWARE AVE, VINITA, OK 74301-3922
(918) 323-0777
Mailing address
1104 W DELAWARE AVE, VINITA, OK 74301-3922
(918) 323-0777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
4915
OK
Other
Enumeration date
05/03/2007
Last updated
11/12/2014
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