Larry Dean Peacock, LPC, CSAC

NPI #1871600825 in Chantilly, Virginia

Provider Information

NPI Number
1871600825
Entity Type
Individual
Name
Larry Dean Peacock, LPC, CSAC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC, CSAC
Enumeration Date
Aug 24, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
4213 WALNEY RD
ZIP Code
20151-2923
Phone
(703) 502-7039

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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