ADAM SIERRA PECK

VANCOUVER, WA
NPI1720742562
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO61129943)
Enumeration Date2021-10-27
Last Update Date2021-10-27
Business Address
ADAM SIERRA PECK SUDPt
1601 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661-3713
Phone number: 360-397-8246
Mailing Address
ADAM SIERRA PECK SUDPt
2507 NE 87TH AVE
VANCOUVER, WA 98662-6850
Phone number: 360-909-3848