Provider Demographics
NPI:1629212345
Name:CHUN, PEGGY GRACE (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:PEGGY
Middle Name:GRACE
Last Name:CHUN
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 W 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3675
Mailing Address - Country:US
Mailing Address - Phone:541-341-3477
Mailing Address - Fax:
Practice Address - Street 1:227 W 13TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3675
Practice Address - Country:US
Practice Address - Phone:541-341-3477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-24
Last Update Date:2023-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC0463101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORC0463OtherLICENSED PROFESSIONAL COUNSELOR