Provider Demographics
NPI:1891800629
Name:PECCIA, JASON CHRISTOPHER (LCPC)
Entity Type:Individual
Prefix:MR
First Name:JASON
Middle Name:CHRISTOPHER
Last Name:PECCIA
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 N LAST CHANCE GULCH ST
Mailing Address - Street 2:#6
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4120
Mailing Address - Country:US
Mailing Address - Phone:406-442-6858
Mailing Address - Fax:
Practice Address - Street 1:44 N LAST CHANCE GULCH ST
Practice Address - Street 2:#6
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4120
Practice Address - Country:US
Practice Address - Phone:406-442-6858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1239-LCPC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health