Regina Sue Peck, LPC Valid NPI
Individual provider · Professional Counselor · Wister, OK
- NPI
- 1861697062
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 6716 (OK)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-06-18
- Last updated
- 2020-02-03
Practice location
23610 Wolf Valley Rd
Wister, OK 74966-2945
(918) 647-1924