Individual provider · Type 1 NPI
Shannon Lea Peck, MS LPC
Professional Counselor · San Antonio, TX
NPI number
1457466922
Active
Practice location
3030 Nacogdoches Rd Ste 101
San Antonio, TX 78217-4502
Fax (210) 826-9828
Mailing address
5410 Fredericksburg Road, Suite 111
San Antonio, TX 78229-3539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 13772 (TX) |
Professional Counselor: Definition to come...
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About NPI 1457466922
Shannon Lea Peck, MS LPC's National Provider Identifier is 1457466922, issued on Aug 21, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Antonio, TX. The record was last updated on Jan 13, 2022.