Individual provider · Type 1 NPI

Larry Dean Peacock, LPC, CSAC

Professional Counselor · Chantilly, VA

NPI number 1871600825 Active

Practice location

4213 Walney Rd
Chantilly, VA 20151-2923

Call (703) 502-7039 Map

Fax (703) 502-7055

Mailing address

6614 Custer St
Springfield, VA 22150-1501

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0701003461 (VA)

Professional Counselor: Definition to come...

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About NPI 1871600825

Larry Dean Peacock, LPC, CSAC's National Provider Identifier is 1871600825, issued on Aug 24, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chantilly, VA. The record was last updated on Jul 8, 2007.