Organization · Type 2 NPI
Lisa Davis Peck
Addiction (Substance Use Disorder) Counselor · Indianapolis, IN
NPI number
1134572308
Active
Practice location
6644 Greendale Ln
Indianapolis, IN 46241-1068
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 87001460A |
| Mental Health Counselor | 101YM0800X | 39001382A (IN) |
| Marriage & Family Therapist | 106H00000X | 35001131A (IN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1134572308
Lisa Davis Peck's National Provider Identifier is 1134572308, issued on Jul 22, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 22, 2016.