Individual provider · Type 1 NPI
Syreeta A. Peacock
Addiction (Substance Use Disorder) Counselor · Fairborn, OH
NPI number
1063012045
Active
Practice location
119 E Dayton Yellow Springs Rd
Fairborn, OH 45324-3446
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA.178947 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1063012045
Syreeta A. Peacock's National Provider Identifier is 1063012045, issued on Oct 28, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairborn, OH. The record was last updated on May 7, 2025.