Individual
ANDREW PECKICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 873-4480
(909) 421-9411
Mailing address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 873-4480
(909) 427-9411
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C4161214
CA
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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