Individual provider · Type 1 NPI

Bryan James Peacock, L.P.C.

Professional Counselor · Wauwatosa, WI

NPI number 1780819797 Active

Practice location

11904 W North Ave, Suite # 110
Wauwatosa, WI 53226-2062

Call (414) 248-4347 Map

Mailing address

N67W24937 Stonegate Ct, #203
Sussex, WI 53089-2585

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3957-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1780819797

Bryan James Peacock, L.P.C.'s National Provider Identifier is 1780819797, issued on May 19, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wauwatosa, WI. The record was last updated on May 19, 2009.