Individual provider · Type 1 NPI
Jennifer Peckman, CASAC
Addiction (Substance Use Disorder) Counselor · Watertown, NY
NPI number
1306404819
Active
Practice location
1575 Washington St
Watertown, NY 13601-9371
Fax (315) 779-5028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1306404819
Jennifer Peckman, CASAC's National Provider Identifier is 1306404819, issued on May 30, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Watertown, NY. The record was last updated on May 30, 2019.