Provider Demographics
NPI:1891430682
Name:PEAK, MONICA J (ALC, NCC)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:J
Last Name:PEAK
Suffix:
Gender:F
Credentials:ALC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6475 SPANISH FORT BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORT
Mailing Address - State:AL
Mailing Address - Zip Code:36527-9403
Mailing Address - Country:US
Mailing Address - Phone:251-232-2396
Mailing Address - Fax:
Practice Address - Street 1:6475 SPANISH FORT BLVD STE E
Practice Address - Street 2:
Practice Address - City:SPANISH FORT
Practice Address - State:AL
Practice Address - Zip Code:36527-9403
Practice Address - Country:US
Practice Address - Phone:251-232-2396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-05
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALC3679A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC3679AOtherALC ASSOCIATE LICENSED COUNSELOR