Individual provider · Type 1 NPI

Letitia M. Peck, R1306170518 CATC REG

Addiction (Substance Use Disorder) Counselor · Marina, CA

NPI number 1639657315 Active

Practice location

3043 Macarthur Dr
Marina, CA 93933-4763

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor Primary	101YA0400X	R1306170518 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1639657315

Letitia M. Peck, R1306170518 CATC REG's National Provider Identifier is 1639657315, issued on Aug 3, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Marina, CA. The record was last updated on Aug 3, 2018.