Individual
MR. MICHAEL PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSC-AD
Contact information
Practice address
122 1ST ST, CHESTERTOWN, MD 21620-1983
(410) 778-5044
(410) 778-7052
Mailing address
122 1ST ST, CHESTERTOWN, MD 21620-1983
(410) 778-5044
(410) 778-7052
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC0530
MD
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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