Peacock, M Charlene

Peacock, M Charlene is an individual health care provider with primary practice located at 3205 Clinton Parkway Ct , Lawrence KS 66047-2627. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Peacock, M Charlene can be contacted via phone (785) 843-5483.

Contact Information

Primary practice address
3205 Clinton Parkway Ct Lawrence KS 66047-2627
Phone: (785) 843-5483
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Social Worker 104100000X 6687 Kansas

Profile Details

NPI number 1730379462
LBN Legal business name Peacock, M Charlene
Credentials LBSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Jun 12th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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