Individual
REGINA SUE PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
23610 WOLF VALLEY RD, WISTER, OK 74966-2945
(918) 647-1924
Mailing address
23610 WOLF VALLEY RD, WISTER, OK 74966-2945
(918) 647-1924
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
6716
OK
Other
Enumeration date
06/18/2007
Last updated
02/03/2020
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