KELLY PECK

OXFORD, MS
NPI1740697036
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-07-17
Last Update Date2014-07-17
Business Address
Mr. KELLY PECK M.A.
152 HIGHWAY 7 S
OXFORD, MS 38655-5392
Phone number: 662-234-7521
Mailing Address
Mr. KELLY PECK M.A.
801 FRONTAGE RD APT. 613
OXFORD, MS 38655-5123
Phone number:
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