Individual
MR. STUART M PEACE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., LPC, NCC, MAC
Contact information
Practice address
EISENHOWER ARMY MEDICAL CENTER, BLDG 300, 13TH FLOOR, OUTPATIENT BEHAVIORAL HEALTH SERVICES, FORT GORDON, GA 30905
(706) 469-7970
Mailing address
613 BRIGHAM TRL, AUGUSTA, GA 30909-6061
(706) 469-7970
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
105
NE
101YM0800X
Mental Health Counselor
Primary
135
NE
Other
Enumeration date
03/18/2006
Last updated
09/30/2013
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