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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEREMIAH PECK

Active Sole Proprietor

JEREMIAH PECK is a Mental Health Counselor healthcare provider located in VANCOUVER, Washington. NPI 1568842532 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · VANCOUVER, WA

Registration Details

NPI Number
1568842532
Provider Type
Individual
Gender
Male
NPI Issued
Jun 4, 2015 (11.169020420407 yrs)
Last Updated
Aug 5, 2019
Licenses
MC60478443 (WA)
LH60967738 (WA)
Sole Proprietor
Yes

Practice Information

Address
11105 NE 14TH ST STE 103
VANCOUVER, WA, 986844309
Browse WA providers · Browse ZIP 98684
Phone
3608360320
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in VANCOUVER, WA

Name Credential NPI
CHARLES E. BARNARD MA, LMHC 1831180728
SUZANNE CUNNINGHAM BURCHETTE LMHC 1285605717
DR. JAMES CRAIG THOMAS PSY.D. 1538133921
MARY FONTANA LMHC 1336196088
MR. DAVID CAMERON HUNTER M.S. 1053347070
THERESA (TERRY CAPPIELLO LMHC 1386669141
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.