Individual
ADAM SIERRA PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 397-8246
Mailing address
2507 NE 87TH AVE, VANCOUVER, WA 98662-6850
(360) 909-3848
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61129943
WA
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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