Individual provider · Type 1 NPI

Jeannine Karen Peck, LMSW

Mental Health Counselor · Detroit, MI

NPI number 1245741230 Active

Practice location

2925 Russell St
Detroit, MI 48207-4825

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6801091571 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1245741230

Jeannine Karen Peck, LMSW's National Provider Identifier is 1245741230, issued on Oct 17, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Detroit, MI. The record was last updated on Oct 17, 2017.