Individual provider · Type 1 NPI

Colleen Mary Kelly-Peck, M.C.

Mental Health Counselor · Tempe, AZ

NPI number 1821211095 Active

Practice location

2111 E Baseline Rd, Suite A-4
Tempe, AZ 85283-1516

Call (480) 775-7400 Map

Fax (480) 775-7406

Mailing address

1840 E Warner Rd, 105-127
Tempe, AZ 85284-3437

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC-0541 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1821211095

Colleen Mary Kelly-Peck, M.C.'s National Provider Identifier is 1821211095, issued on Apr 10, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tempe, AZ. The record was last updated on Jul 8, 2007.