Individual provider · Type 1 NPI
Patti Mae Peacock, LPC
Professional Counselor · Austin, TX
NPI number
1346384690
Active
Practice location
5425 Burnet Rd # A
Austin, TX 78756-1627
Fax (512) 451-8729
Mailing address
11607 Birchbark Trl
Austin, TX 78750-1927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 19507 (TX) |
Professional Counselor: Definition to come...
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About NPI 1346384690
Patti Mae Peacock, LPC's National Provider Identifier is 1346384690, issued on Feb 19, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Jul 8, 2007.