Provider Demographics
NPI:1942616776
Name:PEAKE, REBECCA (LMFT)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:PEAKE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 STILES RD
Mailing Address - Street 2:SUITE 205A
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-2887
Mailing Address - Country:US
Mailing Address - Phone:603-674-0365
Mailing Address - Fax:
Practice Address - Street 1:54 STILES RD
Practice Address - Street 2:SUITE 205A
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2887
Practice Address - Country:US
Practice Address - Phone:603-674-0365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-01
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH169101YM0800X
MA1478101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health