Individual
ANGELA T. PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
521 N MAIN AVE, SUITE 100, SIOUX FALLS, SD 57104-5948
(605) 367-8793
(605) 367-8247
Mailing address
521 N MAIN AVE, SUITE 100, SIOUX FALLS, SD 57104-5948
(605) 367-8793
(605) 367-8247
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
08051364
SD
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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