| Cassie Peck Counseling Llc | |
|
231 N 3rd Ave Ste 205 Sandpoint ID 83864-1418 | |
| (208) 255-6931 | |
| (208) 209-6001 |
| Full Name | Cassie Peck Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 231 N 3rd Ave Ste 205, Sandpoint, Idaho |
| Authorized Official Name and Position | Cassie Peck (OWNER) |
| Authorized Official Contact | 2082556931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cassie Peck Counseling Llc Po Box 205 Bayview ID 83803-0205 Ph: (208) 255-6931 | Cassie Peck Counseling Llc 231 N 3rd Ave Ste 205 Sandpoint ID 83864-1418 Ph: (208) 255-6931 |
| NPI Number | 1144073313 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Medicare PECOS PAC ID | 9739620683 |
|---|---|
| Medicare Enrollment ID | O20240919001638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144073313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cassie M Peck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619261740 PECOS PAC ID: 8022248707 Enrollment ID: I20140305002055 |
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