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Quinn Peacock

Marriage & Family Therapist in Ventura, CA. Individual provider (NPI-1).

NPI number1164040309
StatusActive
Last updated in NPPESDec 21, 2023

Details

NPI
1164040309
Entity type
Individual (NPI-1)
Name
Quinn Peacock
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 13, 2020
Certification date
Dec 21, 2023
Last updated
Dec 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist143523CAYes

Practice location

2021 Sperry Ave Ste 20
Ventura, CA 93003-7446

Phone 805-729-7533

Mailing address

2021 Sperry Ave Ste 20
Ventura, CA 93003-7446

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