Individual provider · Type 1 NPI

Jane Peck

Mental Health Counselor · Staten Island, NY

NPI number 1477107597 Active

Practice location

2460 Victory Blvd
Staten Island, NY 10314-6612

Mailing address

184 Gurley Ave
Staten Island, NY 10308-1505

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1477107597

Jane Peck's National Provider Identifier is 1477107597, issued on Jul 26, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Staten Island, NY. The record was last updated on Jan 24, 2025.