Individual provider · Type 1 NPI

Mary Ellen Peck, LCSW

Mental Health Counselor · Bay Shore, NY

NPI number 1497040406 Active

Practice location

260 Montauk Hwy, Suite 8
Bay Shore, NY 11706

Call (631) 647-9009 Map

Mailing address

48 Huntington Bay Rd
Huntington, NY 11743-2236

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X044226-1 (NY)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1497040406

Mary Ellen Peck, LCSW's National Provider Identifier is 1497040406, issued on Jun 17, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bay Shore, NY. The record was last updated on Jun 17, 2011.