Individual provider · Type 1 NPI
Justin Christopher Peacock, QMHP
Mental Health Counselor · Champaign, IL
NPI number
1821935164
Active
Practice location
3304 Florence Dr
Champaign, IL 61822-8009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1821935164
Justin Christopher Peacock, QMHP's National Provider Identifier is 1821935164, issued on May 4, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Champaign, IL. The record was last updated on May 4, 2026.