David W Peace, BS
Counselor, Professional in Vinita, OK. Individual provider (NPI-1).
NPI number1679795124
StatusActive
Last updated in NPPESNov 12, 2014
Details
- NPI
- 1679795124
- Entity type
- Individual (NPI-1)
- Name
- David W Peace
- Credential
- BS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 3, 2007
- Last updated
- Nov 12, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 4915 | OK | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
1104 W Delaware AveVinita, OK 74301-3922
Phone 918-323-0777
Mailing address
1104 W Delaware AveVinita, OK 74301-3922
Phone 918-323-0777
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