Individual provider · Type 1 NPI

Gretchen H. Peacock, DMFT

Professional Counselor · Fayetteville, GA

NPI number 1407924343 Active

Practice location

115 Habersham Dr
Fayetteville, GA 30214

Fax (770) 461-9779

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC001611 (GA)

Professional Counselor: Definition to come...

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About NPI 1407924343

Gretchen H. Peacock, DMFT's National Provider Identifier is 1407924343, issued on Nov 30, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fayetteville, GA. The record was last updated on Jul 8, 2007.