Individual provider · Type 1 NPI

Mary K. Peck

Mental Health Counselor · Camarillo, CA

NPI number 1124460704 Active

Practice location

1756 S Lewis Rd
Camarillo, CA 93012-8520

Fax (805) 383-3692

Mailing address

5355 Cochran St Apt 204
Simi Valley, CA 93063-6604

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124460704

Mary K. Peck's National Provider Identifier is 1124460704, issued on Jul 23, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Camarillo, CA. The record was last updated on Jul 23, 2013.