Individual
PEGGY A HORON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12225 71ST ST, KENOSHA, WI 53142-7320
(262) 948-4870
Mailing address
12225 71ST ST, KENOSHA, WI 53142-7320
(262) 948-4870
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2917
WI
101YP2500X
Professional Counselor
Primary
2917
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39349400
—
WI
Enumeration date
12/17/2009
Last updated
09/03/2019
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