Individual
LEVARD PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
828 EVARTS ST NE, WASHINGTON, DC 20018-1722
(202) 867-4315
Mailing address
828 EVARTS ST NE, WASHINGTON, DC 20018-1722
(202) 867-4315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
08/24/2023
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