Individual provider · Type 1 NPI

Heather Peacock

Mental Health Counselor · Portland, OR

NPI number 1225499197 Active

Practice location

11035 NE Sandy Blvd
Portland, OR 97220-2553

Mailing address

12328 NW Barnes Rd, Apt. 442
Portland, OR 97229-6065

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1225499197

Heather Peacock's National Provider Identifier is 1225499197, issued on Mar 18, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Mar 18, 2016.