Provider Demographics
NPI:1356375851
Name:PECK, JANET F (LPC)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:F
Last Name:PECK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79C NORWICH AVE
Mailing Address - Street 2:PO BOX 105
Mailing Address - City:COLCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06415-0105
Mailing Address - Country:US
Mailing Address - Phone:860-537-6833
Mailing Address - Fax:
Practice Address - Street 1:79C NORWICH AVE
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06415-1261
Practice Address - Country:US
Practice Address - Phone:860-537-6833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000005101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional