Individual provider · Type 1 NPI
Stuart M. Peace Iii, M.ED., LPC, NCC, MAC
Mental Health Counselor · Fort Gordon, GA
NPI number
1790744845
Active
Practice location
Eisenhower Army Medical Center, Bldg 300, 13th Floor, Outpatient Behavioral Health Services
Fort Gordon, GA 30905
Mailing address
613 Brigham Trl
Augusta, GA 30909-6061
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 105 (NE) |
| Mental Health Counselor Primary | 101YM0800X | 135 (NE) |
Mental Health Counselor: Definition to come...
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About NPI 1790744845
Stuart M. Peace Iii, M.ED., LPC, NCC, MAC's National Provider Identifier is 1790744845, issued on Mar 18, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Gordon, GA. The record was last updated on Sep 30, 2013.