Individual provider · Type 1 NPI
Robin Ross Peacock, LSAC
Addiction (Substance Use Disorder) Counselor · Ogden, UT
NPI number
1457570277
Active
Practice location
2127 Lincoln Ave
Ogden, UT 84401-1313
Fax (801) 621-4203
Mailing address
5961 W 5050 S
Hooper, UT 84315-9720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 138819-6006 (UT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1457570277
Robin Ross Peacock, LSAC's National Provider Identifier is 1457570277, issued on Apr 24, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ogden, UT. The record was last updated on Jul 8, 2007.