Individual
MRS. CATHLEEN PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
40 RECTOR ST, 11TH FLOOR, NEW YORK, NY 10006-1705
(718) 855-7485
(718) 855-1317
Mailing address
3111 AURELIA CT, APT. 214, BROOKLYN, NY 11210-3255
(718) 855-7485
(718) 855-1317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
070451-1
NY
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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