Individual provider · Type 1 NPI
Karen Ruth Peck, LCDC II, LPN
Addiction (Substance Use Disorder) Counselor · Athens, OH
NPI number
1255840237
Active
Practice location
86 Columbus Rd Ste 103
Athens, OH 45701-1331
Fax (740) 594-3105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | 102672 (OH) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 161382 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1255840237
Karen Ruth Peck, LCDC II, LPN's National Provider Identifier is 1255840237, issued on Sep 22, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Athens, OH. The record was last updated on Jul 21, 2022.